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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 &0-70/-6L'5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS <br /> O6 <br /> Owner Mail Address City State/Zip Phone <br /> sAmE As /9&3VE, <br /> Tenant Mail Address City Slate/Zip mmuno <br /> prgr7 "�'�' ��1 '36TG/9VE 1 7) yni7YiY JcY�i�--W?99_, <br /> Electrical Contractor Mall Address City State/Zip 76 I 9 6 <br /> 11[P1l" oclN9� - S <br /> State License Number 77 Contract Price of Work <br /> M�Nr1yf- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ADR 19c0_80 \k-rNWO _ <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 candy that I have load and examined this application and know file some 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 granting of a pemut does notresume to give authonly to <br /> violate or cancel the provlslons of any other state or local law regulating construction or the <br /> performance of construction. That 1 em authorized by the owner of this roperty to perform the <br /> work for which application Is made and I comply with the State Contractors Lew 18.27 RCW and <br /> 286.200 WAC. _ <br /> Z ;�)/ �s <br /> signature ata <br />