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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 — wvnhv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C too/-OlU <br />PROJECT ADDRESS <br />t SNA-40 I 1-0 S . EVOZEr VA <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City Stale/Zip Phone <br />C <br />5r0-EW1')3r. IN10r►4C L)A ` 2.3rk� <br />EleclricAf Contractor Mail Address City late/zip Phone <br />6S I i , C? s �I `� 3c) (z 14 1A _1 cc 7- <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />� 11 r �� <br />Description of Work to Be Done: b Et N L4 ��C'r- t C iDL <br />t V14 11.1 <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 />I hereby certify that 1 havo read and examined lhis application and know the some to he tnro and t) <br />corract. All provisions of laws and ordinances govonung this type of work will he completed <br />whether specified herein ornot. Tne granting of a permit dons not ppresume to give outhonty to <br />violate orconcel the pprovisions of any otherstato or local law wguloling constnrction or the <br />performance of constmction. That tam authorzed by tho owner of this ropery to pedomr tho <br />work for which application is made and I comply with the Slate Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Sgna`ture I t/Dtate <br />