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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET T 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 />PROJECTADDRESS <br />27,9dLs�y LHn �i�rT LUH <br />Owner Mall Address City -� State/ZipPhone <br />one <br />Tenant Mail Address City Slats.rZip Phone <br />Electrical Contractor Mail Address City - 360ph9� <br />State i Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan rteview) 6 6.3,39 . <br />Dcscriplion of Work to Be Done:L2flAiL�SE <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 / have read and examined this application and know the same to bo We and L HOC:' �Z- <br />conod. All provisions of laws and ordinances governing this type of work will be completed <br />whother sponfrod homin or not. The granting of a pannrt does not presume to give authority to <br />violate or cancel the provisions of any other state or local law ragu sting construction or the <br />performanco of construction. That I am authorzed by the owner of this property to perform the <br />work for which application is made and I comply with the State Conlmctors Law 18.27 RCW and <br />296.2001. C. <br />signature Dnla <br />J <br />r no, Ioo In )NI JN%f NIAN0 ;cf5c;909r. NVA 17:01 5007./I7./7.0 <br />