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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 — wvrvv.everettwa.0rg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />I� CU AJ 50 <br />PROJECT ADDRESS 1 <br />��1- 'W_ E V G1 J �e7T InJI� gi�2C7R 5�3 <br />Owner Mall Address City Stale/Zip Phone <br />Tenant Mall Address City State/Zlp Phone <br />42/i e,� <br />Electrical Contractor Mail Address city State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Descrlplion of Work to Be Done: .%Qj,Q - C c A-O C' TIC 10 SQ r U . C <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CIT f OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify That 1 have read and examined this application end know the same fo be 'rue and <br />cor ecf. All provisions ollaws and ordinances govemrng this type of work w ll be completed <br />whether specified herein or not. The granfinp of a permrf does not presume tc give authority to <br />vr01a'e or cancel the provisions of any ofher state or local law no <br />constrvcflon or the <br />peAomrance o/construction. That 1 am eufhonzed by the owner o/this property fo peAorm the <br />work for which application is made and 1 comply with fi a State Contractors Law 18.27 RCW end <br />296.200 WAC. xry <br />posture ate <br />M <br />