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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.everethva.org E13 p /3 7 <br />APPLICATIONS ARE. ACCEPTED FROM 8 AM TO 4 PM <br />RQ[ W <br />PROJECT ADDRESS <br />RuE �I i�lo� SF EvP(c,tt NJ Wnu Ste 3�0 Fwett, USA <br />Owner Mail Address City State2lp ' Phone <br />Tenant Mail Address City State/Zip Phone <br />LU UoifA, SL c, m SP.O. 8,Y Nd I� i I I (�ePk wa 9 oy� yes-9yy-( <br />Eleclrlcel Contract Mail Address City State/Zip Phone <br />(op,4(,5q�ffiI (0(08.o� <br />State 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 <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. /� <br />OV <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing 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 provisions of any other state or local law regulating construction or the <br />perf <br />ormance of construction. That I am authorized by the owner of this ropertyto perform the <br />work State Contract <br />for which application is made and I comply with the ors Law 18.27 RCW and <br />296.200 WAC. <br />I� <br />