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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 FRf)M 8 AM TO 4 PM <br />2� e5 <br />?��6 Cc�lby Ave, Everett <br />PROJECT ADDRESS <br />Evereti� Sc7lo��l DistricC, 3900 �roac�way, Everett., WA <br />Owner �� � Mail Address City <br />�verett. Schne.l District, 390Q Broadway� Everett, WA <br />Tenant �� Mail Address G€ty <br />State,`Zip <br />StatetZip <br />Pl�one <br />Phone <br />C��stercr�ft Electr�c: 206 �rontage �d N, Ste A2, Paci�ic, WA 98Q4i: 253737436" <br />Electrical Contractor Mail Address City Sta#elZip F�hone <br />I�r�STEEI? 27B8 <br />State License Number <br />Civ.i.c �ud.i.torium <br />Proposed Use of Building <br />$6500.00 <br />Contract Price of Work <br />�obbie Burrili <br />Contact Person (Plan Review} <br />_______ _._�.__. _ _______�________ �� __ _- ��� Q 5 � �C �� <br />Square Footage (If residential new construction, remodel or addition) <br />DescriptionofWorktaBeDone:��F7l.a.Ce 2QOamp and 400arnp disccnnects on roof. �'eed new <br />rooi to�; unics. New roaf tap receptacle. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAI. SALES TAX CODE iS 3105 <br />t hereby cerfify that ! have read and examined this appircation and know the seme to be true and <br />correct. All provisions of laws and ordinances governing th�s type of work will be completed <br />whether speciired herein or not. The granting of a permit does not presume to give authonfy to <br />viofate or cance! the provisions of any other state or locaf law regulatrng construction or fhe <br />performance of constructron. That ! am autitorized by the owner of this property to perform the <br />work for whrch application is� ar�� 1 �rth the State Contractors Law 18.27 RCW and <br />�`2f,� WACl�, /: -���f i' / r�' ��e��h ; <br />7i 19/"16 <br />FEE <br />���I �'�'�" 12�1 <br />