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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 - m,lv.everettv✓a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Avc <br />PROJECT ADDRESS <br />d lG ^ o fcsv y(a�l <br />Owner Mall Address <br />City <br />3`l4ie <br />�2S 2_S?,306-C <br />State/Zip <br />Phone <br />Tenant Mail Address City State2ip 3 6 O .j ,7_-_�hone <br />- z� i 2�(' (Low ow w 6 <br />E oclrical Contractor Mail Address City State/Zip Phone <br />W <br />44 u �fia i= <br />State License Number Contract Price of Work <br />C, S h fiC� <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 7- k 0 ) 'A (,k P Pe— r^ ce . ci <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 1 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 of a permit does not presume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. Thai' I am authorized by file owner of this ropedy to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Ed7CR-I22 <br />