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( <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 /> 1801 Broadway Avenue <br /> PROJECT ADDRESS <br /> Wells Far�o Bank 999 Third Avenue Seattle WA. 98104 206-919-2352 <br /> Owner Mail Address Cny Stale�Zip Phone <br /> Wells Fargo Bank 1801 Broadway Avenue Everett WA, 98201 425-258-3744 <br /> Tenant Mail Address City StatelZip Phone <br /> I 1..�,..,.��i �qr_�ti��iral canrirn p O Box 2649 R�dmond WA 98073 425-885-9100 <br /> Eleclrical Conlrac�or Mail Address Ciry SlatelZip Phone <br /> 5/21�,L3 Sqoo.00 <br /> IINIVFMCM4K(1 ' <br /> Slale License Number Contracl Price of Work <br /> Bank (No ChanQ�� Heath Hutchens- Universai Mech. <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Descriplion oi Work lo Be Done: Install one low voltaRe thc�rmostat. <br /> rl <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 — <br /> I here6y certily th?t 1 have r�ad and examined tlris applicafion and know the sarne to be true and <br /> conrcL All provisions ollaws anA ordinances govenung tlus type o/work will be completed <br /> �vhether specdied herein or not The grantin�ol a pernut does not rasinne to grve au(honty to <br /> violate orcancel fhe prnvisions ol any oflierstafe or local la�v�eguPting cons6ucfion or f0e <br /> perfonnance o/consfrucfion. That I am aulhorized b}�the o�vnero(this property to perlonn fhe <br /> work/or�vhich applicat�on rs made and 1 comply�vith the Sfate Confracfors La�v 18.27 RCW and <br /> 296.200 WAC. � <br /> / <br /> ----''�-�--- -'���-- �i 1 U�-D38 <br /> _ �.,_.:� . <br /> Signature � Date <br />