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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 />At?9 "�'//0 <br />PROJECT ADDRESS <br />Owner <br />Af <br />Tenant <br />V SLR <br />S&4& <br />Mail Address <br />Mail Address <br />�1�5 xo-ass 3 <br />City State/Zip Phone <br />city <br />State2lp <br />Phone <br />Electrical Contractor Mall Address city State/Zip Phone <br />Erzco Gl _�_k- 9WcK'ep <br />Slate License Number <br />�IJc� ri>4L <br />Proposed Use of Building <br />Description of Work to Be Done: <br />e-i ow 9 D 12±/1 .� A) L <br />�'00 `e7 --- <br />Contract Price of Work <br />Contact Person (Plan Review) <br />O� <br />va o - <br />"&Jtt ca %CAI/ GuC <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 9105 <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 complel"d <br />whether 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 regulating construction or the <br />performance of construction. That I am authorized by the owner of this roperly to perform the <br />work for which application is made end I comply with the State Contractors Law 18.27 RCW and <br />296,200 WAC. <br />�C(,5 7,7 <br />