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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 7 - 3 - 0 , <br />E- /a07-DI <br />PROJECT ADDRESS <br />51, nV <br />Owner Mail Address City State/LGp Phone <br />I ECI A* I51 �Srti �r 5 r t_�r+ref1 N 1 i, <br />c <br />Tenant Mail Address City State/Zip Phone <br />v 2-j <br />l.J iY i T t 2 u i ,'3 i H-) / Nf .x ri d, v A :.�T1 <br />Electrical Contractor Mail Address City SlatelZip Phone <br />,\.J'YC c. T _r t 'il ? 1.) 1 <br />State License Number <br />i' x <br />Proposed Use of Bwl AI <br />Square Footage (If residential new construction, remodel or addition) <br />-( i e,'U rt <br />Contract Price of Work <br />Contact Person (Flan Review) <br />Description of Work to Be Done. At 1 re 1 ^' j <br />1\\�1 ..r 3-4' <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <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 road and examined firs application and know the same to be true and la U-} - 0 to <br />correct. All provisions of laws and ordinances governing this typo of work will be completed <br />whether specified harem or not The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regularing construction or the <br />performanco of construction That I am authorized by the owner of this ropedy to po,form the <br />work for which application is made and I comply with the State Contractors Law 18 27 RCW and <br />296 200 WAC. - <br />