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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 6 <br />425-257-8810 - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJ CT ADDRESS <br />Isle, I�,Omay ��' �� vYLGl1 <br />Owner <br />Mail Address City StatelZip Phone <br />TenantC Mail Address City State/Zip Phone <br />E)/ 41—✓fi �r��rgvA- City State/Zip Phone <br />Mail Address <br />Electrical Contractor ��: 9ti7--gS'fl I <br />Drc.;tkjtk5 <br />Slate License Number Contract Price of Work <br />C�� G Contact Person (Plan Review) <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />E�rs,7ri /rG�rT fir r�e� 1 QNOcce GJ, rct <br />Description of Work to Be Done: 'yy10K i i� <br />6 r- <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 />thal I have read and examined this application and know the same to be true and <br />visions of laws and ordinances govemmg Ihis type of work will be, completed <br />1 the prov sions of ally otherrrstate or local nit does <br />regu/at ng construction or tllle fo <br />'cons action. That I am aulhonzed by the ow,.arof this properly to perform the <br />application is made and I comply with the Stare Contractors Law 18.27 RCW and <br />- '�/_ 201 <br />FEE <br />