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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 / /_�3 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org "1 <br />-/I/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�cz sn .V/ <br />PROJECT ADDRESS <br />(:A'lh1f�l>J�. I cc�✓,�f�. �^ ;— 7 3 Si '<i� �vE./'�-%l cUA . 9S'�3 � �37y-3Sll <br />Owner <br />Mail Address City State/Zip Phone <br />Gwr1 Tenant Mail Address City State/Zip Phone <br />e�,r�Wicc�If cct_ lal�iL1/R. c38o1/ `/tS-�/�!-9��C- <br />Electrical Contractor Mall Address City State/Zip Phone <br />c�{ 0 A F1 to A-3y <br />Stale License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done- <br />& %✓i <br />NOTE. WIRING IN NON -DWELLINGS IS REQUIRED TO FEE Q� <br />BE IN RACEWAYS, MC OR AC CABLE. 5� ' <br />I <br />CITY OF EVERETT LOCAL SALES TAX CODE 15 3105 <br />1 hereby certify that 1 have read and eramineJ 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 1 <br />whether specified herein or not. The granting of a pormil does not presume to give authority to <br />violate or cancel Iho previsions of any other state or local law regulaling construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work 2900 which C application is made and I comply with the State Contractors Law 18.27 RCW and <br />82 <br />►r �u �t3-►z- _ <br />0n Date <br />