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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 — wvnv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-go c_? <br />PROJECT ADDRESS <br />Owner Mail Address city 5talelLp Pnone <br />Tenant Ma'I Address City StatelZip Phone <br />Perms Rce QectfC "13D-7 wand P1 L)W ggaGa <br />Electrical Contractor Mad Address City StatelLip alas —�5Y S 1 <br />I' EEZ, P-ccI CI t R :�8 i <br />Slane License Number Contract Price of Work <br />ti sF ,- <br />Proposed Use of Budding Contact Person (Plan Review) <br />Desuiplion of Work to Be Dona Po Jr I i E'S 13 ei? Cam' <br />NOTE. WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. n D <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this application and Anomv (no same to be true and <br />conrocl All provisions of laws and ordinances govommg this type o work wdl be completed I ' I �� <br />wholher spocibud herein or not. The granting are permit does not resume to give authonly to i LII IJ <br />violato or cancol fho rowsuons of any other stalu or local low regu ating construction or tho <br />performance of constrppuction. That [am aufhonzed by the mvner of This propoily to perform the <br />work for which application is made and 1 comply with the State Contractors Law 16 27 RCW and <br />296 200 WAC <br />Signature Dale <br />