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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 — lvww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner Mail Address City Slate/Zip Phene <br />Tenant klall Address City State/Zlp Phern:, <br />n <br />Electrical Contractor Mail Address City Stale/Zip Iher� <br />3cf,Wee 1gb7LQ —C.� 9r <br />Stale License Number Contract Price of Work <br />Proposed Use of Building Contact JPerson (Plan Review) <br />Description of Work to Be Done: c/i I i �� yl +�'C'� <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 <br />I hereby certify that I have read end examined this application and know the same to be We and �G$v� _G� <br />correct. All provisions or laws and ordinances governing this type of work will be completed <br />LA <br />whether specified herein or not. The granting of a pemut does not presume to glvo authority to <br />violate or cancel the pprovisions of any other state or local law regulating construction or the <br />performance of consttuction. that I am authotited by the onner of this roperty to pelfomt the <br />work for which application is made and I comply with the State Contractors Law 16.27 RCW and <br />296.200 WAC. <br />/y-05 <br />Cigna ureere Dale <br />