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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.c eretlwa.org O / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S( � <br /> PROJECT ADDRESS <br /> 5ttorro.11 — <br /> Owner Mall Address City state/Zip Phone <br /> Tenant Mall Address City State/Zip Phone <br /> F(K�rti /0 <br /> d Voj 'y»,a... w 2fTPf 5lfl`Or ,Nt �r� /01 f.Js 9�22� Pl0-ymP-raj ' <br /> Electrical Contractor Mall Address City T State/Zip Phone <br /> / )e w�o * x � r-`9 0• mr�> <br /> Stale License Number J Contract Price of Work <br /> -- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: nQ ' [ r4 �T _ <br /> s <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 /> I hereby certify that I have read and examined flits application and know the same to be hue and <br /> correct. All provislons of laws and ordinances governing Otis type of work will be completed <br /> whether specified herein or not. The granting of a pemuf does not presume to give authority to <br /> violate or cancel the provislons of any oflter state or to 11 regulating construction or the <br /> perlormance of construction. That I m authorized It Ite owner of thisroperty to perform the <br /> work for which application Is made nd I ply wl the State Contractors Lew 18.27 RCW and <br /> 298.200 WAC. <br /> Signattife Date <br />