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ELECTRICAL PERMIT APPLICATION <br />ELECTRICAL PERMIT APPLICATION <br />.r or e�eaenseaMrt seances <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 />?SCE, G�>_�;� �:�`�.Q—e.d.lo� �-�� �•� a 9 <br />PROJECT ADDRESS <br />-•=••'o••:'iSPmF <br />N]Sa49 <br />Owner Mall Address City SlatefZlp Phone <br />Tenant Mall Address City State/Zip Phone <br />.r-i-,�—�(-4c�h/= �c.% /t��� tZ S (� L � /U To O 0 /47 <br />Electrical Contractor Mall Address City Slate/Zip Phone <br />dale License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan <br />lReview) <br />( <br />Description of Work to Be Done: l �e ' C�.9A.1..r ZK'k.1,T C1�-f 1. <br />.�-4�-t,'Vv�i1> <br />1t.G'�'lO�yr-�i•�'�rr�Lr .b'\.L 8z`' P llitf�L.•CC,I%l <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 3705 <br />I hereby certify that 1 have road and examined this application and know the same to bs true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a pornut dolls not resumo to give authority to <br />violate or cancel fho provisions of any other state or local law regulating construction or the <br />pen`omlanco o/cons mction. T/rat 1 ant authorized by the owner olOus property fo perfomr the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />signature c3 Date <br />