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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />.SC)uj Urj(1rA, % !GC, 310 4-(( M-6 (J4- ffdav <br />Owner Mail Address city Statemp Phone <br />7 <br />_n i 4 A-540,.,. As .1 basic. <br />Tenant J Mail Address City Steteop Phone <br />AJZ5� /l:Aj_ ale 4." & 44X IV3 J4a(�')A,1,% WA 9/P2i/ Zw-m--ob-s- <br />Electrical Contractor Mad Address City StateZp Phone <br />A SSJCcc_o W^h_ <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: 11 ` <br />S <br />4 <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 />S <br />�.2 2 e act <br />Conlrac(Pdce o' Work <br />Contact Person (Plan Review) <br />I hereby certify that I have read and 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 net. The granting of a permit does not ppresume to give authority to <br />violate or cancel the provisions or any other state or locei law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />290.200 WAC. <br />FEE <br />EosDB-is 3 <br />