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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.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�J <br />PROJECT ADDRESS <br />Owner Mall Address I City State/ZIP Phone <br />renant Mail Address City State/Zip Phone <br />V \n,is ro., \v\L �� (307C1<J`j5 t-._Uv,.+,.XDJ 1JJA-, <br />Electrical CoRtrictor Mall Address City (� Stateop Phcne <br />V7O <br />State License Number Contract Price of Work <br />Proposed Use of Builds g Contact Person (Plain Review) <br />Description of Work to Be Done: +15 a\\—yAS 0 c Qv Zo��y3 F t OOW,F_ <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CA6LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 0% <br />1 heroby cerllly that 1lravo read end examined this application and know the same fo be true and <br />correct. All provlslons vflaws and ordInano3s povemfng this type of work will be completed i <br />whether specl8ed herein or not. lha granting o/a permd does notpresume to glue aufhonty to <br />violate or cancel the provisions of any other state orlocallaw regulating construction or the <br />peNormance of construction. Thef 1 am auflrodzed by the ownerol this property fo perfomr the <br />work for which application Is made and I comply with fha State Confm ors Lew 18.27 RCW and <br />2g6.200 WAC. r <br />Signature �.• .../ Dal <br />