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• 0 <br /> 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 /> 6/c_.o Tach 1p r Dr;ye, <br /> PROJECT ADDRESS <br /> m i'Map L (hoc der1 .25-1 lo Tact inr Pr &Ue,re_-L� QRQ O <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> c -T3o� agand 1°l ,t�c� ar1�oc�oi �1' 8 <br /> Electrical Contractor Mail Address City State/ Phone t+ <br /> coCSS t�'000 <br /> State License Number Cont act Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. Cc <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 <br /> correct. All provisions of laws and ordinances governi.ng 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 provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> J (JLO Fctzt4 0/-1 <br /> Signature Da e <br /> I <br />