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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 />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />Y� S rS <br />Eleccttrriicall /Contractor 7 �7 Mail Address City �J S!tate/Zip Phone <br />/ <br />State(Licensel Number Contract Price of Work <br />\1IM 411 L/d6CQ t <br />Proposed Use of Building Contact Person (Plan Review) <br />G !�7J JJ f/j� L <br />Description of Work to Be Done: li I OV r rl T1i1A �Y- F ° - 4 17 ut3y 1i e_zk6L i NGLS"7 <br />8�Ctin IU� At-\ iv. l7c nr`cl<<? <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 certify that I have read and examined this application and know the same to be true and ,z <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a perm does not resume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. Plat I 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 WAC. <br />Signal Oe to <br />