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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-P857 — wiAw.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br />PROJECT ADDRESS <br />Vl C L y!(%l) <br />Owner Mail Address —�- C t Stale/Zip Phone <br />Tenant Mail Address City StatelZip I'iionc <br />Electrical Contractor Mail Address City State/Zip <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />1 ` <br />Doscriptio ,Work to Be Done' <br />c <br />.ci%z� f/irh6c �.,/'r; ram,/ �v /�. C-�.�►�"�) <br />NOTE: WIRING IIJ NON -DWELLINGS IS REQUIRED 10 FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVEKETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application end know the same to be true and F Gu C u -C' <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether speciliod herein or not. the granting of a pound does not presume to give authonty to <br />violate or cancol thu provisions of any other state or local law regulating construction or Ilia <br />perfomrance or construction. Thal 1 am authorized by the owner of ibis properly to perform the <br />work for which application is made and I cc, nply with the State COntl8c OIs Lew 18.27 RCW and <br />296.200 WAC. <br />e Da <br />