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r�L <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320C CEDAR STREET, EVERETT WA 98201 <br />425-257.8810 - FAX 425-257-8857 — www everettwa org Q a05—� <br />APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM (--liJit 0%?—O 5 <br />1l06 1 1 1 tI' �� �W 1� 1,�vA g8ao4 PROJECT ADDRESS <br />Tenant <br />Electrical <br />Mau Address <br />Mau Addms <br />Mel Addeaa <br />+r 1 � a illq `SG <br />State icense Number <br />QP S t riFn-iTa <br />Propoaec use of Building <br />Description of Work to Be Done <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CdV <br />M <br />Cory <br />Sleler2ip <br />S1ate2.p <br />suneft <br />Contract Price of Work <br />UOLI 1 n�-1�o <br />Content Person 1PIan Rev ew) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cOnt"y that I have read and okenuned this applrcalron and know the same to be true end correct All provisions of laws and ordmarwes governing this type of Work null be complefed <br />wholhor speohad herein or not The granting of a permit does not rating to give aufhordy fo <br />vrofofe or cancel the ppronsrons of any other slate or Wal law regurating construction or the <br />performance of mnsfruchon That IBM authon7od by the owrrer of Thus property to perform the <br />wvrk for wMcri applications made and I comply with the State Contractors Law 18 27 RCW and <br />206 200 WAC <br />FEE <br />Phone <br />Ph" <br />�� <br />00 ilb1 nn <br />