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i- <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 />i✓ �-z09 �15� <br />INa2 <br />PROJECT ADDRESS <br />STCN F&a 61ih- PAVE&tAS 1Klvo 21182 IL444�41V NSyo 11-VI IC a. qjg tz <br />Owner Mail Address City Stale/Zip Phone <br />Tenant <br />Mail Address <br />City <br />Slate/Zip <br />Phone <br />An 1,16, gG,31) IS3010 4vtC N& i1F.Awro.r4t I.Jtd 725 - <br />Electrical Contractor Mail Address City State/Zip Phone <br />(gz5�q3 - nzv <br />MFLlTr4f qSl AM Is-°"--, <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) <br />Description of Work to Be Done: 1 lu TmL< (S) T< 17'yr5 <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 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 <br />iolate or cancel therein rvisions of any ogler state or local law regulating construction authority to <br />performance of construction. That 1 am authorized, by the owner of this roperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />