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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 />Owner t Mail Address City Stale/Zip Phone <br />fenant Mail Address City Stale/Zip Phone <br />q'jgZ_ 2v6"49�3 <br />FACA>rcC E4.C(M 2S 6at_ �DM��e�AS W� `�8020 31; 11 <br />Electrical Contractor Mail Address City State/Zip Phone <br />T�U F SZ-9 6z5bc� CL�L_ <br />State License Number rC6mract Priccee of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <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 Ilia: 1 have read and examined this application and know the same to be true and �0 DO-4- " L( <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 h I the owner n this property to perform the <br />Mignfure <br />lication is made and 1 comply with the State Contractors Law 18.27 RCW and <br />Date <br />