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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.everettvva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />i , I , I <br />PROJECT ADDRESS <br />�k� <br />Owner <br />Mall Address <br />city <br />F74ao-s. <br />State/Dp Phone <br />Tenant <br />Mall Address <br />City t <br />Statolzip phone <br />�ni� rTl PAGii,e� <br />2221 Calt�cm�a� <br />M 1P_VerF_* f yyh? <br />'NIQ 1 e <br />Electrical Contractor <br />Mall Address <br />Clly - <br />StatHDp Phone <br />SO N I T��1211 N W <br />State License Number <br />Wo-CQN)c•uk:mil'. <br />Proposed Use of Building <br />Description of Work to Be Done: <br />f3 q &DO .00 <br />Contract Price of Work <br />V�C\L U1 e; <br />Contact P rson (Plan Review) <br />S U�t e YYA V <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 1 have read end examined 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 <br />whether specified herein or not. The grentirg of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />=tonnanco of construction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />298.200 WAC. <br />FEE <br />E a5a5 -C36 <br />