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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32,00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.evere-itwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECI'ADDRESS <br />//Owner Mad Addrma City SWOOP Phono Tcnant klail MidraA Gry Sort <br />P Phone <br />N ��v 3tt7 Aye W <br />E '" L� �I�.CES ('. �;ziiot ,,A WA �Q$% if-af-IV-� <br />PJeetrl ntractor Mail Aderuw City l swerap Phone <br />�/fEI2CTf'1s4l� kr� _ ��F.O�a <br />State U"n� State Number' Contract Prig: of Woik <br />Co u'u- e y CA I <br />Proposed Uw of Building Contact Person (Plan Review) <br />Squarx Foo'.agc (If Ixsiden1101 now caistnJCtion,j`remodel or addition) j 1 <br />Description of Work to So Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE, <br />I CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 ' 50 <br />I "a"i car* that l have read and examined this applkc46on and know the same to be true and <br />cone All provistcns of/nws and ordinances govemrn0 this typo of <br />work wUl be contploted <br />whothorepecitied holein or not. nor grontinl7 et a permrt does not resume le p(ve authority fo F— .�lJ <br />v. oktfo or nunccl 01n provisions of any otherrslatx orlocal law regu.nhng Constnrcdon or lltx <br />pnrfomtanco of consWct/a7. 77,at l am atrtllodzed by fhe ownorof this propody to perlann the <br />work foruftklt application La rnado and I cotnplywith th state Contragors Law 18.27 RCW and <br />296.200 WAC, p <br />i ) <br />0_ unto - <br />6 <br />.� <br />