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• <br /> II <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 /> 3003 ' CCtsilrlo <br /> Lig' 0.3 3ci.11� <br /> PROJECT ADDRESS <br /> • <br /> 130e1,5 3 001 t w,. , Wio i ?0 y <br /> Owner Mail Address City State/Zip Phone <br /> Tenant J Mail Address City State/Zip Phone <br /> 134/•/1 ow EL ERI t. L.L.G. 117fr1 Ww4cti.,/s Rd4g Q ii.l:.,sfw, w4 `tr/33 360- 707- oS3S <br /> Electrical Contractor Mail Address City State/Zip Phone <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: „tsia//ai an oP Liffl/‘,..,3 , /c r✓.- tc i ?ley. v'/.r/. , .Sli..M. <br /> }'1 so,' e1 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> -3350 <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 121 ,- ] 0 <br /> a <br /> whether specified herein or not The granting of a permit does not resume 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 t comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> cy124 <br /> Signature Date / <br />