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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />PROJE,�C�T ADDRESS <br />UI ;Lam W II"g07 <br />Owner it Address / City Stale/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />0 1 Ab�(e{� C�R12 � �51 N� 1i'�++y�ilI�e I>`A ?1 YES I3� <br />Electrical Contractor Mail Address City �� State/Zip Phone <br />D- o AAC o s g L 02, -��a -0-� la <br />late License Number Contract Price of Work <br />a <br />M*'J (,A � i rk <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to a Done: �7tt <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED f0 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 We and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein cr not. The granting of a permit does not presume to give authority to <br />violate or cancel fit rovisions ,8ny other state or local law regulating construction or the <br />performance of cgrtructio at I am authorized by the owner of this roperty to perform the <br />work for which a adu-anrHzonvp' ! the State Contractors Law 18.27 RCW and <br />296.200 f f— <br />zy afif <br />SI ure Dale <br />