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ELECTRICAL PERMIT APPLICATI <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 />ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />C-)IcII i'LEN1IKX1 ST <br />PROJECT ADDRESS <br />L_A� Pc)UN1 PO 00Y LI KAuWxL,TEU kNA 1E;2r15 253�i3.7�`10 <br />Owner Mail Address City State/Zip Phone. <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />130scN EL-EciNc WC Po 5ox 1%-3 L.Aq STEVEMS 'v\;A ftL68 �zs3r1�8�tGS <br />Electrical Contractor Mail Address City State/Zip Phone <br />6(" SC tiet q ci 3 oT <br />Slate License Number <br />NAU LTI-FAMIU1 RESIbWCE/Aut)l.Fx <br />Proposed Use of Building <br />Description of Wor< to Be Done: <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 file <br />correct. All provisions of laws and ordinances governing this type of work wi <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 1 am authorized by the owner of this prop <br />work for which application is made and I comply with the State Contractors t <br />296.200 WAC. <br />Contract Price of Work <br />Contact Person (Plan Review) <br />to be true and <br />completed <br />re authority to <br />lion or the <br />o perform the <br />8.27 RCW and <br />FEE <br />