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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 12 -6-06 <br /> 425-251-8810 - FAX 425-257-8857 -www.everettwa.org l .016 <br /> r z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7JL <br /> 4? <br /> PROJECT ADDRESS <br /> t1zS- <br /> IXJeVWu`f "_Ryy2i i 41- 7 (r i ';;, ()T c:E- r=yEl'xff <br /> Owner Mall Address City State2lp Phone <br /> 3'74 2 Q Y <br /> Tenant J\ Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> Slate License Number Contract Price of Work <br /> !{L•,Ii�rfl.1-IAL IJc.-Ir — <br /> Proposed Use of Building / Contact Person (Plan Review) <br /> Description of Work to Be Done: �� CA) I n�� �1G i cif <br /> 6 d X <br /> , <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 certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a perms t does not presume to give authority to <br /> violate or cancel the provisions of any other state or local law regulatingpconstruction or the <br /> worko or which applicnticon is made and I complyawith tthe StateeContrhacforrsspLaw 18 27 RCW and <br /> 296 200 WAC. <br /> - Signature ale <br /> E�Gra �a.y <br />