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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />`f I Aj4SsAU s"r <br />PROJECT ADDRESS <br />"A;nre 54enc(L .21d0 ),(C) 3-1 SLA-) l.vntluucocl W,A- 1�5F0310 Cy�ti)3'13 G13� <br />Owner Mail Address City State!Zip Phone <br />Tenant Mail Address City State.!Zip Phone <br />:atria- Se ce <br />Electrica— IT Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Sr-4 <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <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 �J <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 presume to give authority to <br />violate or cancel the prcvisions 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 AC. <br />_Nliature Date <br />