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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 />PROJECT ADDRESS <br />Owner Mail Address City Stale/Zip Phone <br />Tenant Mail Address City Stale/Zip Phone <br />OW L)EZ <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Revie ) <br />Description of Work to Be Done: i _) I (� f `0 0 I\\— � I ! LlLLui`j I )—_147(Ii <br />1K\o-(-r_ V'F� )'auk CtNL -15�)' tv <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEI <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hrreby 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 <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 regurating construction or the <br />performance of construction. That I am authorized by the owner of this property 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 />Sl�na �e I Date <br />�J <br />Ft'-7o$-(2 <br />