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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 7, 2-z ` �8 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org O F07—/00 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />72 a 9 o71, J7- c <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />JU vti C 0 2.2ro —0 <br />Tenant Mall Address City Stale/Zip Phone <br />v.z 5- <br />< %rIC el C �M/lvstrtg9ioLt s /l/c To/Sfv�r�fT�e fv�✓fir wiF ,aT-37 <br />Electrical Contractor Mail Address Clty Stale/Zip c��� O� Phone <br />Slate License Number Contract Price of Work <br />O IMMc/L'iD) — <br />Proposod Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: r LITa+ 1 a -f _ r� b "f2 � <br />y o C c' /,/a rti T- <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 1 havo read and examined this application and know the some to be true and <br />corrocf. All provisions of laws and ordinances govamin99 this type of work will be completed <br />whether specltied herein or not. The greWing of a perm7f does not presume to glue authority fo <br />v/elate or cancel the provisions of any other state or loca11 <br />law rage/sting consfrucflon or the <br />podomlence o/construction. Thaf 1 am aufhonzed by the owner of this pproperty to perform the <br />work for which appllcatlon Is made and I comply with the State Confracrors Law f8.27 RCW end <br />296.200 WAC. / <br />U-7 - l <br />Signatuie 98te <br />