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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 /> i�Ve r-e Ijk <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> T� �) elDo 3 o)< (/o-7 Fle a ff &, ' F20(,_/lo-7 <br /> Tenant Mail Address ,f City State/Zip Phone <br /> g ll t�,R �jg �p�,Kv/l4 u/i9 Gl?Z-7/ - <br /> Electrical Contractor Mail Address City tate/Zip Phone <br /> State Lrnrnicense Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: 60 Ufa <br /> /t4 GM Cdr CfK pek C <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I 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 I am authorized by the owner of this property to perform the <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> .00 <br /> Signature Date <br />