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c <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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />5151 Eve►-jrt:Ln S15.200 <br />PROJECT ADDRESS <br />COMmun,t' M ItV) ctr. PO Box i 5 oEo Everest, WA. 9 8206 <br />Owner J Mall Address City State/Zip +25 - 7 E ?T51 <br />Commt.mN item etr. 5151 Evl✓r reen Jva I-v rest OVA 19 209 <br />Tenant Mail Address City Slate/Zip Phone C <br />Lgn4&r EIecrrlc. ►3351 WE Ibth Sr. 81✓IIevN& WA 5(4111 <br />Electrical Contractor Mail Address City State/Zip Phone <br />LANDF,ESl I1 CL 't V 200.00 <br />Slate License Number Contract Price of Wrift <br />G 01Y1(Yl Pr �- c I L K I I �' n rn tiYl <br />Proposed Use of Building I {� Contact Pers n (Plan Review) <br />I <br />Description of Work to Be Done Y K ( I <br />(TT It C It( Li its <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. Or <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />f correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or, not. The granting of a permit does not presume to give authority to <br />i violate or cancel the provisions of any other state or local law regulating construction or the <br />work for which applicationrmance of on. That I is r adhand 1 comply with m authorized by <br />he State Cowner ont arctorspLawy to 18.27 C W aerform nd <br />296.200 WAC. <br />61, 210 7 <br />Signature Date <br />