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Aug 08 11 10:11 a Doug Comouche 206-575-1547 p.1 <br /> 0 <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 /> PROJECT ADDRESS <br /> ���Y.�� �%� �2Z`r t'E iC/`/cmc r✓ (��,� ,���'D 2 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City StatefZip Phone <br /> Jt?c�'%� SYS S Iv�z S�✓ C1, 15'6✓cqt7, 1`0 <br /> EleCirical Contractor Mail Address City State/Zip Phone <br /> i <br /> �X�o l� <br /> Statelicense Number Contract Price of Work J / <br /> 71'' <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /fit✓ USO��'r ? � CG'iy��l+� <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 39 D5 <br /> I hereby certify that)have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances govemrng this type of work will be completed <br /> whether specified herein or not. The granting of a permg does not presume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That 1 am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Caw 92.27 RCW and <br /> 296.200 WAC. / _ I a <br /> 9 gnature Oate <br /> l <br />