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0 a <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 /> 60.2 1< 1 N(�S PL EVE'P 'rT .WA 8,8203 <br /> PROJECT ADDRESS <br /> JIE�ANET-'Q 1RI;WR X02 KINgS PU C-'VEZG'T A 98203 (4,25)25.2- 0,69 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> C,D e-r <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> 352 SQ FT <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: L-.�G 8TS P LU(�5 -5MOVE DETC6TUR <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 0�Q' <br /> correct. All provisions of laws and ordinances governing this type of work will be completed C f G.V Q <br /> whether specified herein or not. The granting of a permit does notresume 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 this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 6746-0- <br /> Signature Date <br />