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LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 C/� 5-0% d/ <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 />I�_,)2,,°�,T � ee- &1 J,�I,A;-s3i I <br />Owner Mail Address City State/Zip Phone <br />E T . CJ ra �Kay3 <br />Tenant Mail Address City Stale,'Zip Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />/d/� CCU E-_r I,-3-10/0 9a2 <br />Slate License Number Contract Pi ice of Work <br />Proposed Use of Building \ Contact Person (Plan Review) <br />Description of Work to Be Done: «y �'�-�i Q `) 4 c� "E A'i 5� �aY� <br />d <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 <br />correct. All provisions of laws and ordinances governing this type of work w <br />whether specified herein or not. The granting of a permit does not presume <br />violate or cancel the Provisions of any other state or local law regulating con <br />performance of construction. That I am authorized by the owner of this rop <br />work for which application is made and I comply with the State Contractors 1 <br />296.200 W <br />FEE <br />a to be true and <br />completed <br />/e authority to <br />tion or the <br />o perform the <br />8.27 RCW and <br />