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f <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 6 ' 6 - 07 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org C 0) 06--0?-F <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />¢ver <br />PROJECT ADDRESS <br />/� Q 2ob767 999y <br />Robfrj k. / r'errQ e O. Box .25�00/ Ject . 9812 K <br />Owner Mail Address City State/Zip Phone <br />SR>�E <br />Tenant Mall Address City State/vp Phone <br />WwrlBy S*fnr <br />Electrical Contractor Mail Address City State/ZIP Phone <br />/P/ERRRRO 3/NZ <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: NEW S r me/E r m fL y HOVS E <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 C <br />I hereby ceril/y that I have read and examined this application and know the same to be true and l —V 70 0 — O Z <br />9. <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether snecl8ed herein or not. The granting of a perm I does not presume to give authority to <br />violate or cancel the plovfslons of any other state or local law regv ating construction or the <br />pedrmtance of consfructlon. That tam aufhodzed by the owner at this roperty to perform the <br />work for which application Is mac;, and/ comply with the State Confactors Law 18.27 RC W and <br />296.200 WAC. ///��d60`4rt b�{L!2 <br />Signature N Data <br />