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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 Gf_W -Q <br />425-257-8810 - FAX425-257-8857—www.everettwa.oig C0)09 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1 <br />TL <br />PROJECT ADDRESS ^/ <br />00.yJ 91 CA �S JC r.✓Glry -- <br />Owner Mail Address City StotelZip Phone <br />Tenant Mail Address City Slate/Zip Phone <br />S>� /d/ <br />Electrical Contractor Mail Address City StatelZip Phone <br />KlR6YEI 0 77 5A% �'�`� 1-13�2oi/ Z o <br />State License Number Co tract Price of Work <br />roe, <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: jns// �r ram` �/ 731 <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 application and know the same to be true and t� <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 previsions of any other state or local law regulating construction or the <br />performance of construction. That 1 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 W and <br />296.200 WAC. <br />-P/ q -o _ <br />gnro Date <br />