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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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I,1r-13 <br />6131)T-'o7 d <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />I u,Aim /S70 ja "T Si L�'it�aciiv-� <br />Tenant Mail Address City State/Zip Phone <br />c Y3 z( zz y?`` Ifvc , ZSz YZS87d <br />Eleiltrical Contractor Mail Address City Slate/Zip Phone <br />W. xa 7t-e c� <br />Stale L tense Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />70v oC) <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: f�'SCGti �f pe ( LG r/q PC W <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 />1 hereby certify that 1 have read and examined this application and know the same to he true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granling 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 authorizer) by the owner or this property to peAonn the <br />work for which application is made and I comply with the State Contractors Law 1827 RCW and <br />FEE <br />63 S° <br />E►�oI- o3V <br />