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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 <br />�2ooN ��K� V <br />PROJECT ADDRESS <br />,1 'w• <br />Owner <br />Tenant <br />� �d( <br />Mail Address <br />Mail Address <br />Elecirical Conlraclor Mail Address <br />�( �'s-��x 36�1�n1 <br />State License Number <br />3 %��u u�„�P <br />Proposed Use of Building <br />Description of Work to Bo Dane: <br />NOTE: WIRING IIJ NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />�ily <br />City <br />Slate/Zip <br />State2lp <br />State2ip <br />6�a���� <br />�-1 Oo6 � I'�a <br />Contracl Price of Work <br />Phone <br />Phone <br />3s3 ocu� <br />Phone <br />Contact Percon (Plan Review) <br />CIT1' OF EVERETT LUCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read end examined this application and knmv the samo fo be frue and <br />correct. AI! provislons o(la�vs and ordinances goveming this type of work will be complefed <br />whefher speci�ed herein or not The c�ranfing of a permd does not presume to give authonfy to <br />violate or cancel the provisions of any ofher state or focal law regulating consfruction or the <br />per(ormance of construcfion. That 1 am authoiized by the owner o( this properfy to perlorm the <br />work /or which application is made and 1 comply with the State Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />E � ili.1 �O - � `i'Z <br />