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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />L/ 70Y- Do!�wC'oA D,I <br />PROJECT ADDRESS U <br />�/ rt <br />�P 2 r Li f 5p Nvyy,� S� ��( uG��(i' �0, 7 ati�r-[' Iy� <br />Owner Mail Address city Stale2lp Phone <br />Tenant Mail Address City Stale/Zip Phone <br />Elect—ricalContractdr Mail Address city State/Zip Phone <br />F_ V L /f lu t' <br />State License Number Contract Price of Work <br />o F%-r( c <br />Proposed Use of Building / Contact Person (Plan Review) <br />Description of Work to Be Done: I fit �� l (�(_1 %� R3 it, Cn�i <br />eV <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 />1 hereby certify that I 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 specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />r <br />at re Dat <br />