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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 />�2� <br />PROJECT ADDRESS <br />6eev4ree Pl<<7� ars4 LIC 1, GYll 1%.44v,a itzl. s4irlrocig'Z CA C? 6 6 y <br />Owner Mail Address City State/Zip Phone <br />Tenant ' ' Mail Address City State/Zip Phone <br />Electrical Contractor / Mail Address City State/Zip Phone <br />[�ERkYAIC.0S5L3 �- 4150 `o <br />Stale License // <br />Number <br />/� 11 Contract Price of Work <br />C� ke+Pi ir� A84a�l r e'en4yGo: ter 5C1` <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: ffx50%m&d 11 aa.! -i1- 4&' If <br />e4 d(1e�fCj'SC1 w '4tt tDclsiae53 Lace <br />J <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 ordinance:: 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 ofany 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 />tvork for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296 200 WAC <br />Signard Date ..� <br />