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r",ECTRICAL 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 O v <br />Fi20Y-ram <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />_>c�ll �tiD PAC. <br />PROJECT ADDRESS <br />Owner <br />O <br />Mail Address <br />City <br />StntelZip Phone <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address City Stete2ip Phone <br />��� I " I L� o Contract of Work <br />State License Number <br />1 �>> _ �- -11 � 2 � <br />Contact Person (Plan Review) <br />Proposed Use of Building <br />Square Footage(If residential new construction, remodel or addition) <br />r . <br />Description of Work to Be Done: 1 )(> rn D S Arno \>rCn6N Ctcj:i <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. / Sd <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 j I �O O� <br />correct. All provisions of laws and ordinances governing this type of work will be completed G <br />whether specified herein or not. The granting of a permit does not presume to give authorityto <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 I&27 RCW and <br />296.200 WAC. <br />