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a 9 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> (- <br /> PROJECT ADDRESS <br /> (,V%�hAjl I �' I <br /> Owner Mail Add r s City State/Zip Phone <br /> Tenant Mail Address � � State/Zip Phone <br /> --7 <br /> 7Q,(Z K'1.' &'&08,S VYV-�6L— Iq ku?sl X= <br /> ectricaI Co tractor J Mail Address City State/Zip Phone <br /> 5SL-'\ � �1 Lo <br /> Sta icense Nurbber Contract Price of Work c �J <br /> Proposed Use of Building Contact Person Plan Review <br /> P 9 ( ) <br /> Description of Work to Be Done: <br /> pv� to— <br /> V 'V✓ C� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that/have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of thisroperty to perform the <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> V <br /> VR6ti7re Date <br /> rA1e0INn1_ l <br />