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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 4-1--) 1 Z <br />U-izoc/ —d 02" <br />IUl 14�•' �' ���f �M� <br />PROJECT ADDRESS ,1 Q/y� {jJ`as <br />• 11_... - -x- '-- "r I:i') h r... �lpa�M WA 9DX3 112BA <br />City Stale(Zlp Phone <br />Owner Mail Address <br />City Slate2ip Phone <br />Tenant Mail Address /, Q' 1U <br />FkYou s1„ G 82✓ S <br />City State 21p Phonc <br />Electrical Contractor Mau Address <br />RS oU YWNM <br />Contract pace of Work <br />State License Number <br />'I s SA,1'1 %i <br />O)'1 Gyt'6� <br />ro d Use of Bud g Contact Person (Plan Review) <br />Description of Work to Be Done <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN r ' CEWAYS, 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 aid know the same to be true a <br />correct All provisions of laws and ordinances governing this type of work will he completed <br />whether spenbed hereinor not. The granting of operand does not resume to give authordy fo <br />wolafe or cancel the rovisions of any other state or local low regusiting construction or the <br />performance of constrpuction That I am suthonzed by the owner of this property fo perform the <br />work for which application is made and 1 comply with the State Contredors Law 1e.27 RCW a <br />296 200 WAC <br />nd <br />nil <br />FEE <br />-75 co <br />