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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 /oZ <br /> /7_ <br /> O5 EST- (K30 V..b 40--2,k) -1 <br /> PROJECT ADDRESS <br /> • <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> F-oy �L� E �,z40b tJ W eeitk i! ,ttBr_ Le/ORICt lr7 206 x(35 6160 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> q-'f,000 <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: 11.16-17O—C„— E c. 6 4SMAAS <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ^ D <br /> S3 <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 E I�) <br /> correct. All provisions of laws and ordinances governing this type of work will be completed !! l 1 <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 /> performance of construction. That lam authorized by the owner of thisroperty 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 />