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PROJECT ADDRESS <br />T rn:utl <br />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 6 AM TO 4 PM <br />Mau Add,w,,, -- --_ _-- <br />Mall Address <br />✓ere _ lyp �rfJnJ� rit�?y8 9�+(i <br />City slate0p Phone <br />City <br />Electnt.al Contraclor Mall Address City <br />State License Number <br />Proposed Use of Bulldin <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />Slateop Phone <br />014 0OC12 <br />-� State/ZIP Phone <br />Contract Price of Work / <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the settle 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 not. The granting of a pemuf does not presume to give authority to <br />violate or cancel file provisions of airy other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this roperty to perform the <br />work for which application Is made and I comply with the State Conbectors Law 18 27 RCIV and <br />296.200 W((A//C.�// h <br />Slonature Date <br />FEE <br />(.Ion ,.il <br />