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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-SA 57 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM • DEBIT t3 CREDIT CARDS ARE NOT ACCEPTED <br />0 Aa S� <br />PROJECT ADDRESS <br />/%%. -ir✓y ScK�n eel yh 6yQ 5y? 0 9j S-E. <br />Owner Mall Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />e9vvrzar <br />Electrical Contractor Mall Address City State/Zip Phor.e <br />State License Number Contract Price of Work <br />Proposed Use Building Contact Person (Plan Review) <br />Description of Work to Be Done: �� i''%S 7 Q "tV Mlfr4"I AAA" n+ 5V I44, <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 3105 <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 completed <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 property to perform the <br />work for which application is made and I comply with the Slate Contractors Law 18 27 RCW and <br />296.200 WAC. <br />gnaature Date <br />