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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 y t0 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�i SC Cvere MC411 Wall _Sullet 103 <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />�Ue l l c, Hof h loll 35 SE 6VeYett- Mall I LA4 &4le+ /06 tveve> t ,1N�} 9SZc <br />Tenant Mail Address City State/Zip Phone <br />Nect"' Svstefrriz <br />Electrical Contractor Mall Address City Slate/Zip Phone <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: C ha 11 L I !I C' t! 1, C KS <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 <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whetherspecilled herein or not. The granting of a pamut does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this roperperform y to perfothe <br />work for which application Is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 /I <br />Ignature Date <br />