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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 />"IDS 9 i"" <br />AutSE <br />PROJECT ADDRESS <br />337 <br />S- <br />Vk i L L 4: <br />�70o l4_A' �wc C✓� SY�ok <br />Owner <br />_ <br />Mail Address City Slate/Zip <br />Phone <br />r(/od Atf <br />s /W?v 45-4w..y 4ti0fr..0../ b 4 V037 <br />o'Yx•259- <br />tenant <br />Mail Address Ibity State/Zip <br />Phone <br />Electrical Contractor <br />Mail Address City State/Zip <br />Phone <br />Slate License Number <br />Contract Price of Work <br />� <br />� 142 <br />Proposed Use of Bonding <br />Contact (Plan Review) <br />/Person <br />Description of Work to Be Done: 0rl 0� �rr S7µ1�3 Took <br />/ <br />Lfi <br />NOTE: V"RING IN NON -DWELLINGS IS REQUIRED TO FEE <br />IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this application and know the same to be Mile <br />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 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 I am authorized by the owner of this property to perform the <br />work for which application is made and/ comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />62 <br />