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ELECT�RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 -� `�-9 <br />425-257-8810 - FAX 425-7.57-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />�',�L%� ��-,;��I .�)i-"�i�����ti,ty <br />PROJECTADDRESS � <br />IES Commercial 1611 E Marine View Dr. <br />EiectriwlContractor MailAtldress city <br />IESCOCI929JB <br />State License Number <br />� ��.. � -, i , � � , <br />Proposed Use ot Building <br />Description of Work lo Be �one: <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�o9a�`-oz3 <br />fiverett WA 98201 425-�52-2107 <br />Slete/Zip Phane <br />.—� �`� ��.`�. <br />— .J <br />Contract Pnce ol Work <br />Contact Person (Plan Revlew) <br />CITY OF EVERETT LOCAL SALES TA% CODE IS J105 <br />I heroby cortdy that 1 have read and oxamined this applicafion and know fhe same fo 6o fruo and <br />conect. All prov�sions ollaws and ordir.ances goveming Ihis type ol work will be complefed <br />whethar speci/rod frerem or nof Tho yranbng ol a permR does nof presumo to give authonty fo <br />wolalo or canco/ the provisions o/ any ofhor stete or local la�v regulahng constnicfion or fhe <br />porlormanco o/ conshurhon That I am authonzed by flre mvner o! this property to pedorm the <br />work !or �vhich apphr.ahon ;s mado and ! comply wRlr fhe Sfafo Confracfors Law 18.27 RCW and <br />296200 WAC. <br />� � ' � � ��' � i � --- .�'� �, � � ✓ <br />� � <br />Spnature Dete <br />'� ��N-7c;�, <br />FEE <br />�—�7 O �' . <br />., �, <br />yD�-c�-3 <br />