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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 1-2-o6-1/ <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810- FAX 425-257-8857-www.everettwai.org ElulZ-0y5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />WaTmoca- <br />PROJECT ADDRESS % 11 F / G� <br />Owner ,�,, ////M--ail Address City State/Zip Phone <br />iy!%i1< <br />Zv'"ak (�4e Zg,�)d (jorz fiUTc 667TI 1ti'/1 Tzz' 7s� <br />Tenant Mall Address City State/Zip Phone <br />/�/e�„>L�l Crv;yn�tnnc f,zilr A) (foX /isf lyur�r/fen ro 7�'L75_`%z5=3y7-7G <br />Electrical Contractor Mail Address City State/Zip Phone <br />/ `J <br />State License Number Contract Price of Work <br />Proposed We of Building Contact Person (Plan Review) <br />Description of Work to Be Done: & 'c' y `! t✓J; <- E 4t P1J7_A <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 ✓ V ,' <br />I hereby certify that I have read and examined this application and know the same to be true and I I Z <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 regulating construction or the <br />performance of construction. That l 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 />