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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 C �f <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS <br /> -ma / .,�'"Ater z -3 Z kdwl'/ e— FS Z03 975-'319• z /6 <br /> Owner Mall Address City StateZp Phone <br /> Tenant Mail Address City State/Zip Phone <br /> G eelr),C 1nf. /6,17 6&x 270 r1o.,.rf�,�c Trr ri 47.1 %F0413-OZ70 <br /> Electrical Contractor Mail Address city State/Zip Sts TB 4 o zzd <br /> 41"s /o et"9 TO Sq %1/0.00 <br /> Slate License Number Contract Price of Work <br /> /7���� <br /> mc-t� <br /> Proposed Use of Building Contact Person (Plan Review)) <br /> Description of Work to Be Done: <br /> t �I. r tr �� l�tioa 1,& rC /lg7f� a -� <br /> yQ, <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 /> 1 hereby codify that I have road and examined this application and know the same to be hue and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified heroin or not. The granting of a permit does notpresume to give authority to <br /> violate or cancel(tie pprevisions of any other state or local law regulating construction or Nle <br /> performance of consfmction. rhat l am authodred by fire owner of this roperiy(o pedomm the <br /> work for wh <br /> 0 WAC.application Is made and I comply with the State Contractors Law 18.27 RCW and `1 <br /> Signature Dale <br />