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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 />w�_ukj VvWiAN WY Y roof t4IIN Cou C.�r E%JUEr, WA <br />Owner Mail Address City State/Zip Phone <br />.X" <br />Tenant Mail Address City Stale/Zip Phone <br />1/2 S- <br />F��1�T ►Llz6(-o)cES ANE kitAPI-1 toA-9?2a] 76,0 <br />Electrical Contractor Mail Address City State/Zip Phone <br />F�rs7rF_ '7ZC- ' CKw' oo <br />Slate License Number Contract Price of Work <br />�` J/ 5E1H S <br />Proposed Use of Building f Contact Person (Plan Review) <br />Description of Work to Be Done: Abb ANVYI'1'/ 240y L ( /� CCU 1i— f� A& S'Y"iLm <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 settle to be true and <br />correct. All provisions of laws and ordinances governing this type of work wil( be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the previsions of any other state orlocal law regulating construction or the <br />perfomnance of construction. That I am authorized by the owner of this property to perform the <br />work for which application Is made and I comply with fire State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />aturo ate <br />