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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.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> 3c (aoTO ST 5 F— <br /> PROJECT ADDRESS <br /> 611 CA A/ 0^4Z_S y2T z y9- 0800 <br /> Owner Mall Address City Stateop Phone <br /> Tenant Mail Address City State/Zip Phone <br /> /t.r &//jrZ 66EC (!0 isiL <br /> Electrical ContraclOf Mall Address City State/Zlp Phone <br /> /VlL60UEc0k)3A/T <br /> State License Number Contract Price of Work <br /> s FA <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /VFW SFR L47-00 AM/' 46 J ER L4lE <br /> NOTE: WIRING IN NON-DWELLING' IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 5S <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby c04 that I have read end examined this application and know the same fo be true and <br /> correct. All provisions ol/ews end ordinances goveming this fype oI work will be completed <br /> whether speclned herein or not. The granting of a permd does not ppresume to give authority to <br /> violate or cancel the prevlslons o/any other state or local law regulating construction or the <br /> viol mance of construction. That 1 am authorized by the owner of this mperfy fo per/orm the <br /> work for which application!s made end I comply wllh the State Contractors Law 16.27 RCW and <br /> 296.200WAWAC. <br /> /0 - LS- OS <br /> —avrialure Date <br />