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� <br />ELECTRICAL PERIVIII' i4PPLICATION <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� . �i-�/1 �� ,���. V�� °I�6� <br />PROJECT ADDRESS <br />R�t�kOr�e U�S� I�-� <br />Owner Mail Address <br />Tenant <br />u� c <br />Electrical <br />wi�ww�.��IR� <br />State License Number <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />City <br />City <br />�n �i I� �,c,�.� <br />City <br />���� � � �� . <br />Square Footage (If residential new construction, remodel or addition) <br />State/Zip <br />State/Zip <br />� <br />State/Zip <br />Phone <br />Phone <br />a�- a-� <br />Phone <br />�l--�f�x� v�a ���sy � <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �'�/V���� y' �j�,�� <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 />I hereby certify that l have read and examined this application and know the same to be true and � <br />correct. All provisions of laws and ordinances govern�ng this type of work will be completed � �'`�` i <br />whether spec�fied herein or not. The granting of a perm�t does not presume to give authonty to ��� 6�—'�J`'� c <br />violate or cancel the provisions of any other state or local law regulating construction or the � � <br />performance of construct�on. That I am authorized by the owner of this property to perform the <br />work for which applrcation is made and I comply with the State Contractors Law 18.27 RCW and <br />296. 200 INA�. <br />�•J <br />�� 3 c�z - oo Z� <br />