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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-E857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />hh,�o Vie—, V i✓e_ <br />PROJECT ADDRESS <br />571�t�N / A._Ii:c/r Se -_I <br />Owner Mail Address City State/Zip Phone <br />a 1/1 a Z�-✓ors "_rs—oc' . Aj <br />Tenant <br />Mail Address <br />City <br />Electrical Contractor Man Address City <br />P!1 oF�� Ly 7 7"ex <br />State License Number <br />�-F - e e- <br />Proposed Use of Building <br />State/Zip <br />SWOOP <br />J <br />Contract Price cf Work <br />Contact Person Plan Review) <br />Description of Work to Be Done: JH T fit' �" l `2 <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 have read and examined this application and know the same to be true and <br />n ; of laws and ordinances governing this type of work will be completed <br />wain or not. The granting of a permit does not resume to give authority to <br />r provisions of any other state or local law regulating construction or the <br />struction. That I am authorized by the owner of this woperty to perform the <br />cation Is made and I comply with the State Contractlors Law 18.27 RC W and <br />S —1-0 7 <br />Phone <br />Phone <br />FEE <br />y4°J <br />�v1v5-Oo3 <br />