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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88 i 0 - FAX 425-257-8857 - www.everettwa.ora <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7s1� ���r�JiSo� �cwb Sore /a0 <br />PROJECT ADDRESS <br />L,4,3 iaa L =,�/� . 7s7>>— NAaouo� /2&7" <br />Owner Mail Address City Stale/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />The if - 1)442- <br />Electrical Contractor Mail Address City State/Zip Phone <br />Slate License Number Contract Price of Work <br />Pro{.,)sed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: -7 N.s Xx /Z/nk 0) Orly <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 ceriily that I have read and examined this application and know the same to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />Whether specific d herein or not. The granting of a permit does not presume to give authority to <br />violate or cane the provisions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the Stale Contractors law 18.27 RCW and <br />296.200 WAC. <br />r <br />74' <br />i St nature Date <br />//'i z/ <br />