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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 0 % <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org (v?2904 _/ 0-0 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I d k ( r " . . , 1 5 ( K,,C k'[ 7i �,✓✓� <br />PROJECT ADDRESS <br />t"Loaf ")cD )LI COS"'°%'T t✓� 987ri3 4z5,Ync <br />Owner Mait Address City State/Zip Phone <br />Tenant Mail Address City Stale/Zip Phone <br />Electrical Contractor Mail Address City Slate/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: Y (i i 1 r_ jl C \-i.n"r :'z O✓T <br />NOTEWIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES Till( CODE IS 3105 <br />1 hereby certify that I have rend 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 />whetter specified heroin or not. The granting of a pernat does not presume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296,200 WAC. <br />G <br />FEE <br />E w)0l -10 <br />