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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 ,270.7X12—/'0/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C S7-HTE S 7— <br />PROJECT ADDRESS <br />k Ia y 5 i 14 FFE ►U 1166E71IJ E u i Lt,t 0 `7 S zo / <br />Owner Mail Address City Stale2ip Phone <br />yZs�-2f�- loj/ <br />Tenant Mail Address City State/Zip Phone <br />WOOdF046 E(fcfr2=c /6 y3o 67A(Atic= td L yA,wLj060 IJO Fgo 3 -� <br />Electrical Contractor Mail Address City Stale/Zip Phone <br />woob Fc 51 Z i o (- <br />Stale License Number <br />Proposed Use of Building <br />(3aD,6U <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: / 1 C A C C C) j u1i to _ / iy C_ <br />'t 6 c i c--�2 e-�o C r R G u.L-- I <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <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 be true and <br />correct. All provisions of laws and ordinances governing this type or work will be completed <br />whether specified herein or not. The granting of a pemuf does riot rosunhe to give authonty to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />pe.7omhance of construction. That I am authorized by the owner of this property to periomh the <br />work for which application is made and I comply with the Stale Contractors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />