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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 />PROJECT ADDRESS <br />�✓CRC � �/,��.. /4©2 5� EvcrzErr �Ya w��/ �vc2�rr hr� `� BZ�� <br />Owner Mail Address City SWOOP Phone <br />Tenant Mail Address City Stale/Zip <br />EA Mugs r Ec Ec_T- a9/ s CFfcs n.l� i s �7E2c-rt, ��R `1 Zo l <br />Electrical Contractor Mail Address City State/Zip Phone <br />SEp I+uF /aml. <br />State License Number /� Contract ,Price of Work <br />C'0^40EKc- C?11AO <br />Proposed Use of Building Contact <br />Person (Plan Review) <br />Description of Work to Be Done: / �l?C[lmOrL V1°�i%e� / / lJ <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 I have read and examined this app!ication 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 slate or local law regulating construction or the <br />perrormance of construction. That/ 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 RC IN and <br />296.200 WAC. <br />9 <br />