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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-ii810 - FAX 425-257-8857-www.everettwa.org <br /> APPUCATIGNS ARE ACCEPTED FROM 8 AM 70 4 PM �{ ��� J� <br /> � —r <br /> C-�/o��,6� <br /> 2722 COLBY AVE <br /> PROJECT ADDRESS <br /> American West Bank 2722 Colby Ave Everett, WA 98201 <br /> Owner Mail Addiess Ciy Statel7Jp Phone <br /> American West Bank 2722 Colby Ave Everett, WA 98201 <br /> Tenant Meil Address Ciry State�vp Phone <br /> American Neon, Inc 9902 39th Ave CT SW Lakewood, WA 98999 253-627-7996 <br /> Electncal Contrado� Mail Address Ciry StalelZip ('hone <br /> AMERINI002U8 $ 100.00 <br /> State License Number Contract Pnce of Work <br /> Bank Elisa Jacoby <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Changing face on existing cabinet-electrical will <br /> Description of Work to Be�one: <br /> not be touched <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi/y fhat 1 have read and examined this applicefion and know the same to be true and <br /> correct. All provisions ollaws and ordinances goveming lhis rype ol wwk will6o completed <br /> whetht�r specified herein or noL The grenting ol a permd does not presume to give authonty to <br /> violate or cancellhe provisions o/any other sfate or local law regWating conshuclion w the <br /> peAormanco ol conslruction. Thaf I am authonzed 6y the cwner o/this property to peAorm fhe <br /> work/or which application is made and!comply wi(h the Sla!e Contractors Law 18.27 RCW and <br /> 296.200 LNAC. <br /> / �' <br /> �� ��') /! �j <br /> . Signat Date n � <br /> ✓ lloU i <br /> 1 <br /> ✓ <br />