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S <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES6J --7_/, 6.2 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org 7 —72-1 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> W-6/8-/ - <br /> 3.06 3 <br /> -D/8-/- <br /> 300 .3 t&' 7 <br /> PROJECT ADDRESS <br /> DC/47 e6 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> fi/ Z 72 PD ice /17/1- g �A gg274 5 458 c2 --6/ <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> �/1/�G6/7 6774",_ 4D <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage (If residential new construction, remodel or addition) <br /> Description of Work to Be Done: 7/YS/I/1_2— i ,1/ ii} �o,+'e5 3?9 /i4 t/ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE . I 13 0 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and I <br /> correct. All provisions of laws and ordinances governing this type of work will be completed r l �C - U <br /> whether specified herein or not. The granting of a permit does not presume to give authority to .r <br /> violate 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 owner of thisroperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.20' 4 'C. <br /> 7//, <br /> :ignat re Date <br />