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08-12-15;03: 16PM; ; # 1/ 1 <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 8 AM TO 4 PM <br /> 142 7 Ru c,keX <br /> PROJECT ADDRESS <br /> ta A b2 -e q _ 7 if. r epe,6 ■ 0 . air <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> f� r-osrFier r i c 7B 07-a g a nd P1 J ) ua000l 4-Q5:764-5/v3 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> fizJo J1 �f4 ' �SDd.ate License Number Contract Price of Work <br /> C,a r&q <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: LA) 4-e,e new p ct'aq�. eLv.d <br /> 1J Ltt-L) aOO y4-I Y1P rc?/tc e. <br /> NOTE: WIRING IN NON-DWELLINGS 1S REQUIRED TO FET <br /> BE IN RACEWAYS, MC OR AC CABLE. -1 ,., <br /> r-c /fry <br /> ' <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3.105 <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed II. U( �i'�1�„(t, <br /> whether specified herein or not. The granting of a permit does not resume to give authority to V, v <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of thisroperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 298.200 WAC, <br /> . at,Ouu' ' cfbc2107r) RI ta 16 _ <br /> Signature Date <br />