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t <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 />PROJECT ADDRESS <br />�oea �45� r cl C=wvR <br />wn Def —AIL Mail AddresMail Address s City State/Zip Phi <br />40 <br />Tenant ya City StateOp Phone <br />C, V I /LXU��_ <br />Ellrect cal <br />lCContractor <br />� Mail Address City StafteftbO 45' <br />LL11,1 'Nu �0 � <br />yIW`C�ract Price of Work <br />Stale License Number <br />osed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done i \ t� v �� ''" <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 1 have mad and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances govemmg 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 pprovisions of any other state or local law regulating construction or the <br />peAormance of constmchon. Thef 1 am eulhonzed by the owner of this property to peAorm the <br />296.200�WAC application is made and I comply with the State Contractors Law 18.27 RCW and <br />/oi— <br />Ign ate <br />