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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 4 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />CSWO. <br />PROJECT ADDRESS <br />Owner Mall Address City State/Zip Phone <br />q-e rz S'y-/� <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />5�1JOy <br />State License Number Contract Price of Work <br />G,--,L si/OFrfcr— ��w( llG Svc <br />Proposed Use of Building Contact Person (Plan Review) <br />Yz S- 6-7o %z//' <br />Description of Work to Be Done: C_� I, G--.—t. rQ <br />i <br />won r TV D 4 <br />IJOTE: 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 Misapplication and know fire same to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified horein or not The granting of a pemut does not presume to give authority to <br />violate or cancel the movisions of any other state or local law regulating construction or the <br />miance of cons(ruction. That I am authorized by flip owner of this roperty to penfonn the <br />perfo <br />work for which application is made and l comply with the State Cont actors Law 18.27 RCW and <br />296.200 WAC. <br />-7 17% <br />Signature Date <br />