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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 3 <br />425-257-8810 - FAX 425-257-8857 — www.everettrva.org �) 30 -DFO <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PNI <br />S- <br />PROJECT ADDRESS <br />Owner I Mail Address City Slate/Zip Phone <br />Tenant Mail Address City State/Zip II Phone 11'' <br />SNOHOMISH ELECTRIC, INC. D• �1 y ? 7S , S(1L�1t)fmU11 kA � an) 42�-' <br />Electrical Contractor Mail Address City State/Zip Phone <br />StiOHOE 10PV\( OD <br />Slate License Number Contract Price of Work <br />Proposed Use of Building 1 Contact Person (Plan Review) <br />`V ` Description of Work to Be Done: O J iz 1 h dI 1 01&S <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 />whether specified herein or not. The granting of a permit does not presume to give authority to J� <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 roperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Slg a u Dale <br />