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• • <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 &. / //vs0&76 <br /> //—/3 - iz <br /> •c)(='3 (,v, C&s (26a 140–Z Z, <br /> PROJECT ADDRESS <br /> • <br /> Owner Mail Address City State/Zip Phone <br /> e <br /> Tenant Mail Address City State/Zip Phone <br /> vw.1u� <br /> Electridal Corttractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Yli•NQ v.k c t}t,.c <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: Z l a c acyl I- i iYS c� Shr1,0�v-1 `�6 i�t� 4 f o�14 <br /> Cd(. ► Ell0 1 J I <br /> Z‘l- CA(.0 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <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 governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does notresume to give authority to <br /> violate or cancel the provision-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 i made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. / <br /> irNik <br /> 1( c3 , z <br /> Sign f re Date <br />