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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 — wvnv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner Mall Address City <br />Stateop <br />N 74t°A (_. <br />Tenant Mall Address City Statelzip <br />Phone <br />Phone <br />A, )tiJI�:�k 4J/I 'dkfl 0yz>133Y-/yss" <br />Electrical Contractor Mall Address City State2lp Phone <br />0cd�_-0?BN4- <br />State License Number <br />Proposed Use 6f Building <br />Description of Work to/Be Done: 2- crJ` / <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 />�65ob� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />/%W 4-;�— (4'L a­4 <br />I hereby certily that I have read and exomined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveminp this type of work will be completed <br />whether specified herein or not. The granting of a perm does not presume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of fhls properly to perform the <br />work for which application Is made and 1 comply with the State Contractors Lew 18.27 RCW and <br />296.200 WAC. <br />FEE <br />Fi.lrl- /rI <br />