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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE IT, WA 98201 c _ Q <br />425-257-8810 - SAX 425-257-8857 - www.everettwa.org <br />C COyCIS 0 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />y.Ll rim ��f� 11/ �' <br />PROJECT ADDRESS <br />Owner Mall Address City Slate0p Phone <br />Tenant Mail Address City State/Zip Phone <br />C <br />V1 „n. >�1 � 11)15 ` lt_' rxjv�ver,IV""I�. 98d7l i;5w-off <br />Electric 1 ontractor Mail Address city j State/Zip Phone <br />State License Number Contract Price of Work <br />! ' k(? I V_L' 11 ICI <br />Propose e o Building Contact Person (Plan Review) <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 />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 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 goveminpp this type of work will be completed <br />whether specified herein or not. The granting cf a perni f 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 Thai I am authorized by the owner of this pproperty to perform the <br />work for which application is made and I comply with the State Contractors Law 16.27 RCW and <br />FEE <br />DADS � a� <br />