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i <br />�LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES -� � i s—o� <br />3200 CEDAR STREET, EVERETT, WA 98201 ��9�—�"� (� <br />425-257-8810 - FAX425-257-8857—www.everettwa.or� I <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�'.��I �ti��,���G'lz� ��J�. <br />PROJECT ADDRESS <br />Owner <br />j���f,,, /J_.ad.� krNSc <br />Tenant � <br />IES Commercial <br />Electncal Contractor <br />IESCOCI929JII <br />State License Number <br />/.1 c�' �( 1�. �.� <br />Proposed Use of Building <br />Mail Address <br />City <br />. <br />� ,' ji �_ �� �t�[� ��� /� .�,k' L , <br />Mail Atldress Cily <br />1611 E Marine View Dr. <br />Mail Atldress City <br />SlatelZip <br />�� �.v-!' ', : <br />Slate2ip <br />Phone <br />� <br />��5 : �i - j.. <br />Phone <br />Everett WA 98201 425-252-2107 <br />S�aic2ip Phone <br />� 9�, v��� <br />Contracl Price of Work <br />Contact Person (Plan Review) <br /><< cE cEi, � o. ���/, �> ��� r i c � <br />Description of Work to Be Done: F <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 />1 heiuhy certi/y that I havo read and ezamined this application and know the same (o be f�ue and <br />correcL All provisions o(/aws and ordinancos g�vemrng fhis type ol work �vill be completed <br />n�hefher spocilied herein or noL The granting o7 a pemuf does nof resume to give aufhonty fo <br />violafe or cancel !he provisions o( any other state or local law reguPtmg consfn�chon or the <br />pedo�rnance o/ conshuction. Thaf 1 am au(honzed by the owner ol fhis properfy to pedomi fhe <br />n�ork lor �t�hich application is mado and 1 comply �roith fhc Stafe Contracfors Law 78.27 RCW and <br />296 200 bVAC. <br />�'1,,� - ,'' / 7/�S� �' i <br />c.c /�'� <br />FEE <br />,�, � . S-O <br />c:�p�-I�� <br />i <br />