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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.everettwei.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />! � :3 / C`^eSl /l/L&:t <br />PROJECT ADDRESS <br />J <br />�'C�q� i�L — <br />II�Z7- <br />T_' <br />7- D� Ft/e�a{I <br />% A Y�ZD9 <br />— <br />y <br />332 -0727 <br />Owner <br />Mail Addre: - <br />City <br />State/Zip <br />Phone <br />Tenant Mall Address City State/Zip Phone <br />Jz5 ca Ets'yr ' jiC.. 613Z 97 ;. N� MA+��3JfcL +an S8z70 _K6o 6s, 8_zg <br />Electrical Contractor Mail Address Clly Stale/Zip Phone <br />td C--5i[ e.L �.�/o /C 1 Sz�b <br />Stale License Number Contract Price of Work <br />IZrs1�I i•«L <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ce4 that 1 have road and examined this application and kn w uie same to be true and <br />correct All provisions ollaws and ordinances governing this type of woin will be completed <br />wheHrer specified herein or not. The granting of a permd does not ppreume fo give authority to <br />violate or cancel Nre provisions of any other state or lowl law regulating construction or tho <br />perfomtanco of construction. That 1 am authorized by the owner of this property to perfomr the <br />work for which application is mado and 1 comply with the State Conbaetors Law 18.27 RCW and <br />296.200 WAC. <br />6 dj <br />FEE <br />