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c � <br /> 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 -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> Z31 �d' �� Sid <br /> PROJECT ADDRESS <br /> IES V0 Z31 7 Yfi' PL, Svy Fytlzerr 76, zc>3 <br /> Owner Mall Address City State/Zip Plane <br /> Tenant Mall Address City State/Zip Ptono <br /> V75-- xar <br /> t 1werr, y- e--rmfc �uuV r8o�/►r�NE F(_r1,LrdA(P k'h S16121 7-7 "!Z <br /> Electrical Contractor Mall Address City Statelzip Plane <br /> State License Number Contract Price of Work <br /> Milieu C)NOl'Y/ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <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 read and examined this application and know the same to be tnie and <br /> correct. All provisions of laws and ordinances goveming this type of work will be completed <br /> whether specrried herein 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 regulating consfn.ction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for;WAC. <br /> ch epplicefio ' ado and I comply with the State Contractors Law 16.27 RCW and <br /> 296.200 "y <br /> ata <br /> E 0'4 0v -00 1 <br />