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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 />Eizo6-o.37 <br />F . 6eezAA Sf G�ere}f yg203 <br />PROJECT ADDRESS <br />�e Lei all{vr7 311v E &eck;5i, Cvere WF4 Rg2o3 y25-Sol- 35 <br />Owner Mail Address City State/Zip Phone <br />Tenant Mal Address City StatelZip Phone <br />d w htn2 <br />Electrical Contractor Mail Address City State(zip Phone <br />Stale License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) {n „ I} <br />Description of Work to Be Done: I 5'�ca I ( E l eC t r k e a. I 1— H Oar �"� t /j�} ` �u y <br />NOTE. WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MG OR AC CABLE. <br />5C)00 <br />CITY OF EVERETT LOCAL SALES TAA CODE IS 3105 <br />1 hereby codify that I have read and examined this application and know the same to be tmg and r I (_ _ 03 <br />correct All provisions of laws and ordinances governing this type of work will be completed L �" <br />whether specified herein or not. The granting of a permit does not presume to give authonly to <br />violate or cancel the PPrevisions of any other state orlocal law rogulating construction or the <br />performance of cons(nrction. That i am authorized Dy the owner of thispmperty to perform the <br />work for which application is ma and 1 comply with the State Contractors Law 18.27 RCW and <br />296200 WAC. <br />Sig a r Dated <br />