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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />- <br />3200 CEDAR STREET, EVE =TT, WA 98201 <br />425-257-8810 - FAX 425-257-88b7 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Y,. <br />3o ueCE jl m AU <br />PROJECTADDRESS <br />Owner Mail Address City Stale/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />AEo.J SAS i /7-1 yoo�7 ��cif� PL s-t_ A, coe-c!�- <br />ElectricalContractor Mail Address City State/Zip Phone <br />Ak 01-4 S / 0,6 6 P -4/ go CC) , O c� <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: __ES / /f L. L <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 1 havo EJ c a - � �q <br />certify that read and examined this application and know Ote samo 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 file I�rovisions of any other state or local law regulating construction or the <br />That 1 by this <br />performanco of constmction. am authorized the owner of property 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 />'-� ,,Signature Date <br />