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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 />PROJECT ADDRtS <br />Owner� � �� t r r d � ✓� �>r✓r'f�� J: 9 fa7'a /%�75 ,2,2o 1,y96 <br />Mail Address City State/Zip Phone <br />Tenant �+ Mail Address t� City r State/Zip Phcae <br />!gl)LJ i�fr/IGfi� l)�X /�� FiCr�r�rl <br />Electrical Contractor Mail Address City State/Zip Phone <br />/In g cL_ kI �1 ILa u Contract Price o(Work <br />State License Number <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 6��ao r 4� �c�—' 17>�/ � &e, 1 r'-fU <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 ENO <br />_ Ord p <br />1 hereby certify that 1 have read and examined this application and know the same to be true and 7 I <br />correct. All provisions of laws and ordinances goveming 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 of any other state or local law regulating construction or the <br />performance o/ construction. That I am authorized by the otwler of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RC W and <br />zig <br />Ci <br />7 <br />d <br />t vale <br />