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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 12 — /3- 0 7 <br />425-257-8810 - FAX 425-257-8857 — www.e ,eretlwa.org C07/2 _e� y <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />PROJECT ADDRESS <br />> 1 (L- /o� N -PArJ(e-� De wn- <br />Owner Mail Address city State/Zip Phone <br />Tenant Mail Address city State/Zip Phone <br />uIA <br />Electrical Contractor Mail Address City State/Zip 3 �i yPhone <br />e3 p <br />State License Number Contract Price of Work <br />Proposed se of Buying Contact Person (Plan Review) <br />it c <br />Description of Work to Be Done: (xk-'— - Qox 40 <br />NOTE: \l'IFRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, N10 OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify Ihaf 1 have read and examined this application and know the same fo be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed 01 a-01 y <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 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 State Contractors Law 18.27 RCW and <br />296.200 WAG. <br />