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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES C <br />3200 CEDAR STREET, EVERETT, WA 98201 9 ` 17 n-0 / <br />425-257-8810 - FAX 425-257-6857 - www.everettwa.org C 090 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�jp1�Js- - Sw <br />PROJECT ADDRE S <br />l�t+N:23Jl <br />Owner Mall Address City State/Zip Phone <br />Tenant Mail Address City State/Zip L�aS Phone <br />v) c5-) t" DINE Mofiu--W - s <br />Electrical tractor Mail Address City Slatetzip Phone <br />�)Tk;_NET�sacP 0j c0 - <br />State License Number Contrad Price of Work <br />Propor5luseof Building �— Contact Person (Plan Review) <br />Description of Work to Do Done: <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 />U %G _S�.r� c <br />1 haroby certlly that 1 have read mIA examined Ihis epplicahon end know the same fo be true and <br />correct. All provisions ollaws end ordinances goveming Ihis type or work wl11 be cemplefed <br />whether specl6ed herein or not. Tho granting el a pernuf does nn1 ppresume to give �wfhorYty to <br />violate or cancel the provlslons of any other state or local few regulating constructioc or the <br />peHornfance o/ constrvcflon That 1 em auftj d by the owner o/ this roperty iu pedorm the <br />work for wtl application !s made and /comply with the Sfafe Contractors Law 16 27 RCW end <br />296.200 WAC. <br />FEE <br />046-le <br />�� - 90����2 <br />