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Mar 24 09 10:28a p.2 <br /> i <br /> 1 ELECTRICAL PERMIT APPLICATION <br /> C1 1 Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25.7-88 i 0 - FAX 425-257-585 7.—wvirw.everertwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJ ECT ADDRESS <br /> Oviner Mair Address City Statej7ip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> (-12-5)a3'-I-b� f <br /> L��I SS `1? � 'J-A <br /> =�� t <br /> Electrical Contractor Mail Address city State/Zip Phone <br /> State License Number Contract Price of VMcrk <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Wo.t to Be Done: <br /> NOTE: WRING IN NON-DWELLIM :5 iS'REQUIRED TO Fes. <br /> BE IN RAC-E`!b`AYS, PAC OR A C CABLE- <br /> . <br /> CITY OF EVERET LOCAL SALES TAX CODE IS 3105 IF- <br /> I hereby certify that 1 have read and examined this application and know the same to be true and o <br /> correct- All provisions of laws and ordinances governing this type of wort:will be completed <br /> whether specified herein or not: The granting of a.pe,md does not presume to giv.e autiori4to. <br /> ,v;oiate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owmer of this property to erform the <br /> work Tor which application is made and I comply kith the State Contractors t avr 18. 7 RCW and <br /> 296200'J'vAC. , <br /> I 5t^ zt rn? Dare <br />