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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CRED11 CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />Owner Mail Address City Sale/Zip Phone <br />Tenant Mail Address city State/Zlp Phone <br />J7ti - 6l7Y <br />Electrical Contractor Mail Address city State/Zip Phone <br />L n re- ez el r1, Z <br />State License Number Contract Price of Work <br />S F rr! <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: _SOS dr C�o OD /a <br />47-T /O <br />'. ATE: WIRING IN Nr'J-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />•9•eG7 ;ertdy that I have read and examined this application and know the same to be true and <br />-est. Alf provisions of laws and ordinances governing this type of work will be completed <br />..-wrier specified herein or not. The granting of a permit does not presume to give authority to <br />�,s < an enof consl the trruction nThat I amtauther orized by local <br />thelaw <br />owner of thisregulating <br />construction <br />o ert to erform the <br />application is made and I comply with he State C ntractorspLaw 18.27 RCW and <br />S� natur Dat <br />�osol -0 43 <br />