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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 — wv %,.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT!`DDRESS <br />4Aj00go �215o,j '4R57 Vr57Apz. / eft t-)14 5S,Zo3 <br />Owner Mail Address City State/Zip Phone <br />5�a-3'4(8 <br />Tenant Mail Address City State/Zip Phone <br />0w,-�er <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Cuntract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: Ja D /J 1 T!4';;7n) <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 C— aOs <br />I hereby cedify that I have read and examined this application and know the same to be true and <br />correct. All provision^ of laws and ordinances governing this type or work will be completed <br />whether specified herein or not. The granting of a pemut does not presume to give authority to <br />violate of •ancel the Provisions or any other state or local law regulating construction or the <br />performan..e or construction. That I am authorized by fhe owner or this property to pertomr fire <br />work for which application is made and I comply with fhe State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />