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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 />b 7 �cc�P`(�der �VE <br />PROJECT ADDRESS LL II 11 <br />L c �T l�A 9ii�l wL5- 9% <br />) v�N-f� u%,n7 �xkQ(�"'1�-0- Ave t�✓w/C -33 <br />Owner <br />Mail Address City StaWZ p Phone <br />Tenant Mail Address <br />City SlatelZip Phone <br />Owl" City State/Zip Phone <br />Electrical Contractor Mail Address <br />Stale License Number <br />le F4411 <br />Propo ed Use of Bulldi <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Contract Price of Work <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOt:AL SALES TAX CODE IS 3105 <br />1 hereby cerl.ty 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 <br />whether specified herein or not. The granting or a permit does not presume to give authority to <br />violate or cancel the provisions or any other state or to :al law regulating construction or the <br />performance of construction. That I am authorized by the owner of this properly to perform the <br />work for which application is made and I comply with the State Contractors Law 18_ 7 RCW and <br />296.200 WAC. _ , <br />r <br />E <br />EL 05-131 <br />