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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> L10 ' Qv <br /> PROJECT ADDRESS <br /> Lori,, 5w 510 vox I WA . 24- <br /> Owner Mail Address City State/Zip Phone <br /> 5 VVI"\b <br /> Tenant Mail Address City State/Zip Phone <br /> S(A , <br /> Electrica Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> C' <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) n <br /> Description of Work to Be Done- 1 � <br /> �U�M, rA <br /> - 5 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 7500 <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 2, ) <br /> correct. All provisions of laws and ordinances governing this type of work will be completed l <br /> whether specified herein or not. The granting of a permit does notresume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> perfor ancewhicof construction. That/am authorized by the owner of this roperty to perform the <br /> work r h application is made and I comply with the State Contractors Law 18 .27 RCW and <br /> 296.2 0 C. <br /> �, w ,, <br /> ill 2 <br /> Signature Dater <br />