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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 zc-ogo -o5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />E'lo 44 �6'r k yh e,r PUS <br />PROJECT ADDRESS <br />aoLykMe_�r EVt< �i82(�G� 2C .3sld.y73 <br />Owncr Mall Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building 1 p Contact Person (Plan Reviow) <br />Description of Work to Be Done: Iri'Cfr-gL 1-Q S tl'� tirl � U tie V_r, r <br />t <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 lead <br />correct. All provisions of laws a <br />whether specified herein or not, <br />violate or cancel the provisions <br />this application and know the same to be true and <br />govemmg this type of work will be completed <br />N a permit does not presume to give authority to <br />de or local law regufating construction or the <br />ized by the owner of this property to perform the <br />v with the State Contractors Law 18.27 RCW and <br />S <br />