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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 />2518 �ISr FI. 5E. <br />PROJECT ADDRESS <br />DicK hq444n 25i j 81St P1. 5E. EyerettAA• j82o3 `t�5-210-3112 <br />Owner Mail Address City State/Zip Phone <br />NIA <br />Tenant Mail Address Gly State/Zip Phone <br />kn�er Electric 133511 NE 1616 St- 0e:lley4e, M 12005 V5-5t2-1.111 <br />Electrical Contractor Mail Address City State/Zip Phone <br />LANDEC-51 1 I5G �170C.00 <br />Slate License Number I Contract Price of Wor <br />t�mSin1FgMIht`h igh <br />Propose Use of Budding_,or <br />T } n Contact Pers (Plan Review) <br />Description of Work to Be Done I �� S t �► 11 1 2` 4 M P G I I t 0 S h e <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. 50 00 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 II <br />1 hereby certify that I have road and examined this application and know the some to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whother specified 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 to urating construction or the <br />performance of constmction. That 1 am sufhonzed by the ownel of this roperty to perform the <br />work for which application is made and / comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />,*LAIN T og <br />Signature ale <br />