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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 L/- a3 -40 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />Cl009-,cfj0 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Jl'�DO�s <br />Owner Mail Address City Stale/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />73%S��s%. C�J, Seam(' �Co Gas <br />Electrical Contractor Mail Address City State2ip Phone <br />State License Number Con act Price of Work <br />Proposed Use of Building JI nn^^Contact Perrssong (Plan Review) <br />Description of Work to Be Done; *3006) �/ `� T' e le 3/ <br />i 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 />I hereby certify that I have read and examined this application and know the same to he true and ��0 �i <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 pemut does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />we c for w chla o lication is n ado and Iauthorizedcomply <br />ooywith Ythe State Contractors LawY 18 27 RCW and <br />29U2O0C, PP AY <br />Slgnalure Date <br />