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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 - vdww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />Owner Mall Address IInn City State/Zip pie <br />p <br />Tenant Mail Address <br />City Slate/Zip Phone <br />Electrical Contractor Mail Address <br />yvC'C_n�3 LC <br />Slate License Number <br />Proposed Use of Building <br />City State/Zip �4-z?61 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: ____��9nJ l,� ` f IA" ��� _ C u / <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 />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 permit does not presume to give outhonty to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That/ am authorized by the owner of this property to perform the <br />work for which apphc do is made and I comply with the State Contractors Law 10.27 RCW and <br />29G,7BA.W \ p - <br />(\ \` I ` AN <br />rC) — <br />