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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.everet(wa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />La oe <br />Owner Mall Address City State/Zip Phone <br />Tenant <br />Mail Address City <br />/ 3,Y 0 s //th Ave //& <br />Contractor <br />d)W(2re j� C� 1/U 5 <br />State Licenso Number <br />!!�)ii?Cj% T rail„Iv <br />Proposed Uslf of Building <br />Description of Work to Bo Done: ) r <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />Stale0l, Phone <br />&J4 NovZ'�1 <br />State2lp <br />Contract Price of Work <br />Contact Person (Plan Review) <br />y certify (hat I have road and examined this application and know the same to he true and <br />All provisions of laws and ordinances governing this type of work will be completed <br />r specified he,ein or not. The granting of a permit does not )resume to give authority to <br />or cancel fhe provlsions of any ofher state or local law regulating construction or the <br />)ante of consfnrchon. Th if 1 am authorized by the owner of this roperfy to perform the <br />wfilcli application Is made and 1 comply with (tie State Confracfors Law 18.27 RC W and <br />FEE <br />Phone <br />