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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />9nn^,ICMA0 CTDCCT MICOCTT 1A/A ❑OOM <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner Mail Addrers City state/zip Phone <br />Tenant Mail Address City State/Zip Phone <br />Pollie-1 6lec-1ylc// 3Y65 oft Ave <br />ve u��GIG(;� ed4 yygt <br />eclrical Contractor Mail Address City Stnte2lp Phone <br />A)wefe i/0 5 <br />State License Number Contract Price of Work <br />Proposed UsY of Building Contact Person (Plan Review) <br />Description of Work to Be Done: _ j / f7G I P ULI1 e �F?1 r 16 /IPI.d e—d1 TzX n <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 cattily Ihaf I havo read and examinad this application and know the same to be We and <br />comecf. All provisions of laws and ordirtences povenrinq (iris type or work will be completed <br />whether speclhed herein or not. The pranflnq o! a pemut does not presume to give authority to <br />violate or cancel the pprovisions of any other state or local lbw r>3guletinq construdlon or the <br />psoomranca of constmchon. 77I t 1 an <br />I auIII zed by the oa•rer of this roped fo perform the <br />work for which application Is rnado and 1 comply with tha Stah Contractors Lew 18.27 RCW end <br />296.200 WAC. <br />natun+ eta <br />9/0 �� <br />