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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 <br /> 43:2 2- <br /> 3003 WE <br /> PROJECT ADDRESS <br /> Own Mail Address City State/Zip Phone <br /> 0 � <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> 132.uC5,?- g3z2.M <br /> State License Number Contract Price of Work <br /> &W4, �C14L_ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> YES <br /> Description of Work to Be Done: 1_,16 - C.- /,1 <br /> ,L', 2 �y�y�a� 1200-.-7 .S <br /> r <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� 0 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <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 r / <br /> whether specified herein or not. The granting of a permit does not presume to give authority to l D� <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That 1 am authorized by the owner of this roperty to perform the <br /> work for which applicatio is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296.20 C. <br /> r / /Y �oyy , <br /> (Signature Date <br />