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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CU)AR STREET, EVERETT, WA 98201 % v Iq .-07 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org E070-7//F <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ZIILI Uznrl SE <br />PROJECT ADDRESS <br />Owner <br />Mall Address <br />clly <br />Slateop <br />Phone <br />Tenant <br />Mick ' n-E <br />l <br />Mall Address <br />City Stateop <br />�L'm5 <br />Phone <br />)-'—ih97 <br />Electrical Contractor <br />I <br />Mall Address <br />City Slalelzip <br />Phone <br />N /_S <br />Slate License Numbor <br />Proposed Use of Building <br />Description of Work to Be Done: _I W <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contract Price of Work <br />Cuntact Person (Plan Review) <br />1 hereby corlily that 1 have read and examirtod this application and know the serve fo be true and <br />correct. All provlslons of laws and ordinances governing this type of work will be completed <br />whether specl0ed herein or not. The granting of a pemrtt does not presume fo give aufhonfy to <br />vt0lefe or cancel flee provlslons of any other sfefo or local law regulating construction or the <br />perf0mtance of construction. That 1 am authorized by fire owner of flits property fa perform the <br />work for which application is nrado end I to <br />with the State Contractors law f 8.27 RCW and <br />296.200 WAC. <br />a <br />FEE <br />CC7C7-1'O <br />V 1� <br />