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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982ni <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRCM 8 AM TO d PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />0-�L 1 3 W, J P I. S. L.i . E Jt/ C Fh L o t 3 I <br />PROJECT ADDRESS <br />!! (k Fb 0-IL l5"1'1 �...� LJ 4 I'y"'i 73F.Y9 - lOe n <br />Owner Mall Address Cih, Slate2ip Phone <br />Tenant Mall Address city Stale/Zip Phone <br />�L �LI Ief` LjV •.5E 15 " �rt-i0 336 96rep <br />Electrical Contractor Mall Address City State/Zlp Phone <br />_411-"94 <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: j jLLo <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 />1 hereby certify that I have read and examined this afplication and know the same to be true and <br />correct. All provisions of laws and ordinances gove,nmg 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 focal law regulating construction or the <br />That <br />performance of construction. I am authorized by the owner of this property to perform the <br />work for which soplicadon is made and I comply with the State Contractors Law 18.27 RCW end <br />296.200 WAC. <br />((/& �O <br />ignatu a Date rX'� <br />