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F_LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAF 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 <br />�'IS ����rl- {%� S.w L�� <br />PROJECT ADDRESS <br />�I-z S- 3S�'� i �, � <br />LA-��e� �a,��o I-lo�v� ��1=i�� P� ,so,� dN� ��� S-r�v�I w�r ��zs� <br />Owner Mail Address City Slale/Zip Phone <br />Tenant <br />Electrical Contrector <br />State License Numher <br />Proposed Use of Building <br />MailAddress <br />Mail Address <br />City <br />City <br />I^ , <br />Description of Work to Be Done: ���M r ����L <br />N07E: 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 />StatelZip <br />StalelZip <br />Contract Price of Work <br />Phone <br />Phone <br />�T� �` ��/J1-vL BI j <br />ConlactPerson (Plan Review) <br />FEE <br />I hereby ceRily fhat I have read and examined Oiis application and know the same to be true and <br />correcL A/l provisions ollaws and ordinances govenuny this type ol work will be completed <br />whether speci6ed herein or noL The granting ol a permit does not presume to give au!honty to <br />violate or cancel the provisions o/any ofher state or local law regulating construction or the <br />peAormance ol construction. That 1 ant aufhorized by fhe owner ol this property to pedorm the <br />work Ior which application is rnade and 1 comply with the Sfate Contractors Law 18.27 RCW and <br />296.200 WAC. <br />2 �-1 � d F� <br />U2`( <br />