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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 />210 5.7f'• 61"OV I N1,FGL Vey <br />PROJECT ADDRESS <br />PfA43PW ILA uC — <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />6"So <br />Mail Address <br />Electrical Contractor Mail Address <br />A4-00fto Iom7 <br />State License Number <br />AfIAL <br />Proposed Use of Building <br />W <br />tqA17't' V4 <br />City State/Zip <br />City <br />Phone <br />tollf (0) 2az-170*0 <br />State/Zip Phone <br />f soa. <br />Contract Price of Work <br />S_NE4 71"MLs1111) _ <br />Contact Person (Plan Review) <br />Description of Work to Be Done: 0r4adlily Tare gurtAr goLF fiHo allifoll4710 1,41 Shr*;r. <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 />I hereby certify that 1 have read and examined this application and know the same to be true and 611 pL{ - 0,5 9 <br />correct. All provisions or laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not oresume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />perfonnance of construction. That I am authorized by the owner n! this roperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18..7 RCW and <br />