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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRLET, EVERETT, WA 98201 <br />425-2.57-8810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,SO 6' 95"d 5-1 sSy <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />CI3o��� 5 <br />LvA 9S2-a61 <br />Stale7q) Phone <br />S A m ,o-- aS <br />Mail Address Uty Stera2ip PI < e <br />Tenant <br />19425 39-onpway51 _. <br />.ca11 <br />Contractor Mail <br />AMA���3889l�� <br />State License. Number <br />Ras l <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done S e2 r u e ' C e �e. r <br />Cny <br />Izz <br />RlatdLr Phone <br />j r3'0o <br />Contract Price of Work <br />Content Persnn (Pion Review) <br />ne I C_Hdh <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 redify that I have ronrf and examined this application and know the some to he true and <br />correct All provisions of laws and ordinances governing 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 pprovisions of any other state or local law regulating conctruction or the <br />performance of ronsfrorbun. Thaf I am sufhoozed by the owner of this property to podorm the <br />work for which application i e and I comply with the State Contractors Law 18 27 RCW and <br />296.200 WAC. i <br />/.Zo-13 <br />FEE <br />fc op <br />1 130[ — IDS <br />