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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 982.01 <br />,125-257-8810 FAX 425-257-8857-www.everettwa.org C Illd :2 - 0 1 <br />PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner /] � Mail A,tl�dro+ss City Stale/Zip Phone <br />IV LIJN•1 IJ°X P0.1�1dC'+l I,a rjl (( (f <br />Tenant Mail Address City ' State/Zip Phone <br />7rtu liicc Cw� (l i) , S SG '1 I�2 GAO 19R" <br />Electrical Contractor Mail Address City y� SlatelZip Phone <br />_G-Cj A 2Q �Z 2?3 KS 3 s c- co <br />State License Number Contract 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 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />- - , ^e A( nJ v"1 <br />read and exan.'.ied this application and know the same to be true and <br />iws and ordinances governing this type of work will be completed <br />r not. The granting of a permit does not presume to give authority to <br />lions of any other state or local law regulating construction or the <br />in. That I am authorized by the owner of this roperty to perform the <br />is made and I comely with the State Contractors Law 18.27 RCW and <br />FEE <br />