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11 �11F/'-Tl 2 15: 59 2OS8531 418 RNE <br />PAGE 01/03 <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 5 AM TO 4 PM t5 j2// -OLI6 <br />2-U-N �NOVIt d 2yQLC <br />PROJECT ADDRESS <br />r� <br />l)�� pa✓1 <br />�_ dI ons Lli Sih(QS <br />Mail Addrms City Slnle/Zip Phone <br />Owner (q 0 to 1 <br />City Staln2ip Phone <br />Tenant Mail AAAross ���\� <br />�2111� Inc. 10 P>oise lh (2Usig53 z9�3 <br />Electrical Contractor <br />Mail Address City Stalarzip Phone <br />i2evtr-- i�y r �' �"l(nI�C l Price <br />fW <br />COnhad Prlco of Work <br />Slate License NUmbnf (j <br />Proposed Use of Building Contact Parson (Plan Review) <br />Square Footage (Il rnsidentinl new conslrucGOn, remodel or addition) / <br />Description of Work to Be Done: ! 'L ODLO_I' ,�C)r v LEDS <br />1107E: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. Q <br />CITY OF EVERETT LOCAL SALES TAX CODE 15 3105 <br />1 horoby codify viaf I have road and examinod Iles applicntion and knew the same to be true and <br />correct. Alt provisions Of taws unit ordYlnnoos guverrang flits typo of work will be cornplered <br />whofher spoclytod herein or not. Tho griming Of a permif dous nOl presume to give authority to <br />wofatr or cancel the provisions or any uthar state or local law rage ahng constmedon or the <br />perfonnancv of constriction. Tlrat I ant authonzod by the ownar of tors property to perform the <br />woriL I2Afor <br />which <br />appficdtfua Is made and I compty with the State Comtr ctars Law 18.27 RCW and <br />�' Slpnu u e u It <br />