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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 pl ,,0 <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM �oaO�/� <br /> 23oU CC'T+1 � � �1E� t�La <br /> PROJECT ADDRESS <br /> 1'150\)\C ?'SN buT+l .5r -%C- eoeP&T, WPger8w3- <br /> Owner Mall Address City State)Zip Phone <br /> Zea irpS-c 9s-/ 7 <br /> Tenant Mall Address City State/Zip Phone <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building �I Contact Person (Plan Review) <br /> ` VI <br /> Description of Work to Be Done: � Nyi � c w� S <br /> 140TE: 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 coni/y thpI I have read and examined this application and know the some to be true and pq(� <br /> correct. All prods ns of laws and ordinances goveming this type of work will be completed G`b\0 <br /> whether specified herein or not. The granting of a perm(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 /> pert finance of constmction. That I am authorized by the owner of this roperty to perform the <br /> w for which-applicalion Is made and I comply with the State Contractors Law 16.27 RCW and <br /> 6.200 Z <br /> /d <br /> Signature Date <br /> I <br />