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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 <br />- www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ROJECT ADDRESS <br />1' <br />fP nAl 1 Q k7 <br />Owner Mail Address City <br />/Ur <br />StateOp Phone <br />Tenant Mail Address �.(, $V£ SF City <br />State/Zip Phone <br />arorzas <br />, <br />A Ark <br />/ � Jxssn/e Arkl c �Plyi co-� � . 7 �� <br />rA�l1 4r f 4 / g <br />Electrical Contractor Mall Address City <br />State/Zip Phone <br />SW censeumber <br />Contract Price/ f Work <br />4 /Alor i n <br />Proposed Use of Building <br />Contact P son (Plan Review) <br />Description of Work to Be Done: v 7� —oi <br />C �I s /_I f 14 a r / <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />FEE <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 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 perm7t does not Presume to give authority to <br />violate or cancel the pprovlsl s of any other Mate or local law regulating construction or the <br />woe ko%whlch acotsctn+ct !s mad t 1 ad I conprized y with tthe State ContrhaictorspLaw 18 27 RCW and <br />296.200 WAC. pP py <br />ature Da <br />