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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 />Lj <br />PROJECT ADDRESS <br />V <br />Owner <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-- <br />Mail Address <br />St �.Jr2c�" <br />City <br />L) <br />State/Zip <br />z5 -a�5�q-3� <br />Phone <br />Tenantt�� Mail Address City State2.p Phone <br />V I,t,)A"! k - <br />Electrical Contractor Mail Address City State,Zip Phone <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: ri P_ W t r2El <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 />Contract Price of Work <br />Contact Person (Plan Review) <br />I hereby certify that I 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 permrt 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 or construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and 1 compiy with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />r <br />E O ( I I —li2,S-- <br />