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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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />L1 3r S� SE <br />PROJECT ADDRESS <br />MNCK <br />Owner Mail Address City State/Zlp Phone <br />Tenant <br />Mall Address <br />City <br />Stale/Zip <br />Phone <br />r- <br />SumMIT c-La: L, (�/n3 ulsts'r Nw faou.\ZD L.,A r IAT NCR 5)5j <br />Electrical Contractor Mall Address City State/Zip Phone <br />4�MM I 1 066 1/-2 <br />Stale License Number <br />I� <br />Proposed Use of Building <br />snap <br />Conlrart Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: ul P-E A i cui SCESL- z4o t\p-\7 sa-j ice <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 />I hereby certify that I have read and examined this application and know the some 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 penult does not resume to give authority to <br />violate or cn; tcel the previsions of any other state or local law regulating construction or the <br />performamm of consfrructlon. That I am authorized by the owner of this roperty to perform the <br />work for which application Is made and I comply with the State Contractors Lew 18.27 RCW and <br />296.200 WAC. <br />FEE <br />