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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 - DEBIT & CREDIT CARDb ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip .�l 11��e5'S1` e ✓ - �mc � �S� \ �c(\�.'.c.r� �ti� �j' <br />Pn <br />-ccx e <br />Tenant Mail Address n (City State/Zip Phone <br />�01�04y'1�b-YO.'�cl <br />Electrical Contractor Mail Address city Vo /Zip / Phone <br />7A, A -I 4;- \3 <br />State License Number Contract -Price of Work <br />00 <br />Prop o Use of Building \ c Contact Person (Plan Review) <br />Desc lion of Work to Be Done: " <br />o saka zo',Q <br />l <br />ale a,ne -+�'•r...=c, v- ��\6w � lt,-S.�v�'S,�S - ass;�.� 3 h ; �''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 />1 hereby certily that 1 have read and examined flmis application and know the sarne to be true and <br />correct. All provisions of laws and inances governing this type of work will be completed <br />whether specified herein or n . me nting of a permit does not presume to give authority to <br />violate or cancel the provis' s of any Cher state or local law regulating construction or the <br />performance of constructs n. Th n authorized by the owner of this property to perform the <br />work for which applicatio i 1 e a d I comply wilh the State Contractors Law 18.27 RCW and j <br />296.200 WAC. <br />5 a; 11s <br />I tV Dal <br />I / <br />V <br />