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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 — wr+niv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />05- 5;ew- <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City statsop Phone <br />Electrical Contractor Mall Address City Stale0p Phone <br />� / � ��-:: y7 � S Ezra. oz1 <br />Stale License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: I IR-ea 5'#e5 e-1- <br />NOTE* WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, KIC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I have read and examined this application and know the same to be Into and <br />ns of laws and ordinances goveming this type of work will be completed <br />erein or not. The granting of a permit does not presume to give authority to <br />r pprovisions of any other state or local law regulating construction or the <br />structionsrmade -That I am authorized by the owner of this property to perform the <br />Fati ' and I comply with the State Contractors Law 18.27 RCW and <br />5�A'v-,— ?ter e6 <br />FEE <br />,C—ca60q -�&15y <br />