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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 b <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Co 6 o <br />?O�/ 064kc_s A./(- <br />PROJECT ADDRESS <br />5&_1 _S1rl r_ G3oy 06ks /1-e (:aca44 U�1 9e�3 uls 7/0 -el I <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City Slate/Zip Phone <br />1-10 ,,,1 r n r S cN 1'n r <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: SCrc In LJ 11 <br />iLy / c•i <br />i.rGI(,x 1,i i;A. ✓IC4 �,r Jt "Ide .i Cc C�)k-r c,I C _ �O rq: J,/rd <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 />I hereby certify 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 specified herein or not. The granting of a permit does not resume to give authority to <br />violate or cancel the PProvis'ons of any other state or local law regulating construction or the <br />performance of construction. That/ am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.400 WAC. <br />N-G - 06 <br />ED(Poq-� <br />ly <br />