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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 />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />t <br />Tenant Mail Atltlress City State/7ip Phone <br />AFL:,A' .ti � L11r) u'r." <br />Electrical Contractor Mail Address hM (S -L -I ii City State/Zip Phone <br />() l.. j (LA e L- C1(o i 1,j Ln 5-bo <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) j <br />s <br />E <br />Description of Work to Be Done: y�r M u A <br />Y <br />t <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />ivo <br />I hereby certify that I have cad and examined this application and know the some to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein o,not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other stale or local law regulating construction or the <br />porformance of construction. That I am authorized by the owner of this property to perform the <br />work for "( qh application is made and I comply with the State Contractors Law 16.27 RCW and <br />�/To[ (xi <br />i•d 9011 LS9 09E pjoJpejq siAe-iq <br />eTb:LO 90 od unr <br />