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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 — vdvdW.everettvva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />L.V h n-p v- z: ve <br />OwQV Mail Address City Stale/Zip Phone <br />Tenant Mall Address City State/Zip Phone <br />f% 0 E r ✓c -e-S" <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />S/r7 ref L 774� 44 r L <br />Proposed e f Building Contact Person (Plan Review) <br />Description of Work to Be Done: <br />r <br />n <br />r <br />G <br />©i:7T E <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 />1 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 or work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That lam authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Low 18.27 RCW and <br />296.200 WAC. <br />FC-70 3 -va7 <br />