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9 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 / D��`�� <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org / � �, �, �� _ / (� � <br />(_ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��2a ��.�����,J w��,� . <br />PROJECT ADDRESS <br />L <br />Owner <br />Tenanl <br />Iio�e�S <br />�J e �� <br />�� � <br />Mail Address <br />Mail Address <br />Eleclrical ConUaclor Mail Address <br />'�� Ool�s ��e 9� � ;T' (=, . <br />Stale License Number <br />��� ��- �� , <br />Slate2ip <br />Phone <br />Slate2ip Ph�on_eS <br />/ooc] (8°�•� z¢�;-�aE <br />Slate2lp Phone <br />G� <br />r /�� O <br />Contract Price of Work <br />l '�9 !n'1 P � C =c� I ' <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work lo �o Done: � V� � � 1 �1 _�� � ���%�' � � � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SA�ES TAX CODE IS 3105 <br />1 hereby certi(y fhat I hsve read and exAmined this app;ic <br />r,orrecL All provlslons of la�vs and ordinances goveminc� <br />�vhefher speafied herein ovtfot The granfin9 u(a permif <br />violate or cancel fhe provisi� ns�( any other state or loca <br />per/orrnance of const cfion. That! am authonzed by the <br />�vork Ier which applic�bn is made and f compfy �vilh the <br />296.200 WAC. /' /� <br />C r�-� = � .. �- <br />�ficn and kncw fhe same to be true and <br />Ihis typo ot wcrk will bo complet�;d <br />does nof �rosumo to give authority fo <br />law regulating wnsfruction or fh�� <br />ownerof this propedy to perform the <br />Sfafe Contractors Law 18.27RCWand <br />`��2%� �� <br />F[E <br />��`iU� � lLl� <br />