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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 />APPLICA-IONS ARE ACCEPTED FROM 8,AtVl T0-4'PM% _0 6 —0-7 <br />Ac- 0703-oa6 <br />PROJECT ADDRESS <br />ITN P-02�S <br />Owner Mail Address City ;late/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />1), tC . r tEc7-F-tc >y G Ir Y,1,)wjjd Wll 9,f6 S 7 <br />Electrical Contractor Mail Address City State/Zip Phone <br />'Df oao E� <br />Slate License Number Contract Price of Work <br />0..J,-iD0 <br />Proposed Use of Ujilding , J Contact Person (Plan Review) <br />Description of Work to Be Done: v l ter u <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 />1 hereby certily That 1 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 of work will be completed <br />whether specified herein or not. The granting of a permit does not resume 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 1 am authorized by the owner of this properly to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />298.20,pWAC. <br />,�/ Sire r Date �� "' <br />