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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 />I�� �� � �(c�--Q (a�1�K ( ��t c� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />Coniraclor A9ail Address <br />('►?i�F� -I�`�7�Kra <br />State License Number <br />Q o�:<���v e <br />Proposed Usc af Building <br />Descriplion o( Work to De Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Cily <br />City <br />���Y <br />StatelZip <br />Phone <br />Phone <br />3�:0 �l3sP�e2i <br />ConUact Price oi Work <br />C� � "_ �2S 330.2�zo <br />Conlact Person (Plan Review) <br />1 hereby certily (hat 1 have read and eramined Ihis application and know the same to 6e (n�e and <br />correcL All provisrons o/la�vs and o�din�nces govemmr� this type ol work will be complefed <br />�vhether specfied herein or not. The �ranfing o/a pernut does not preswne to give authonty to <br />violale or cancel the provisions olany ofher sfate orlocal law regulafing construcUon or fhe <br />peAormance o/ construcfion. That 1 am aufhorized by the owner ol lhis property to pedorm the <br />work /or �vhich application is made and � comply with fhe State Contractors Law 1827 RCW and <br />296.200 WAC. <br />FE <br />�35°-`' <br />