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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 /> PROJECT ADDRESS <br /> yas 3 8S- yr9/ <br /> -v cpo pOX aofe F,e-e rr Gc>A , 7A .%3 <br /> Owner Mail Address City State/Zip Phone <br /> Saa"� <br /> Tenant Mail Address City State/Zip Phone <br /> 9�°fid <br /> l�_` (*most Flc-cT���u� tit, Z„<. /6Gbo Nt�IICRreKBIUp. Sup Ila , /�►;!/cR�eK 00, <br /> Electrical Contractor Mail Address City State/Zip'l.;s-.779P7rf'one <br /> I-/� (A-,7'f-c Fn 77M A / 1 aaJ <br /> State License Number Contract rice of Work <br /> f� k "Ile -773-0117 <br /> Proposed Use of Building V Contact Person (Plan Review) <br /> fx s71,a &J , f,(a�r' � <br /> De�s1criptlon of Work to Be Done: f Cb Im0 tJ @ L 64 , t ,ca paws-L. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF f lERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that 1 have read and examined this application and know(lie same to be faro and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to <br /> violate or cancel theprevisions of any other state or local law regulating construction or the <br /> performance of construction. That 1 am aufharized by 8;e owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW end <br /> 296 200 WAC. <br /> —� —t7 <br /> Date <br /> (=ci7dz.- l5 J <br />