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� <br />PROJECT <br />Owner <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.ory <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />�dail Adtlress <br />Clvc r <br />City <br />State/Zip <br />Phonc <br />Do,✓rtc �. 'c 30j. .S. %-h Sh -S��r/O.i T ccvn�� 95'S�D.� �i3-C:So-So5'/ <br />Tenant hlail Hddmss City SlalelZip Phone - <br />A` <br />�. r, � �4 ��� F�'� 1ylll 7Y'" H�� cr c F��.�.J1.,�� S5�i73 �3-.���-J.35' <br />Electrical Conlraclor ldail nddress Ci�y State2ip Phone <br />c- �: it �t � ��v„3 0�s ,� / is� o 0 0 <br />State License Num6er Contract Price of Work �� `{ <br />C.., � Gn.�.�we.� <br />�,kSSC �i � r i`L-.c in iu /.S' � / %'�-'G'� . <br />H �,.,� O'�_/�f'� C i •�,'� - <br />Proposed Use of Bwldin� Conlact Person (Plan Review) <br />Descrip!ionofWorktoBeDone: x•�5f`��I �ac �1� }•;c•.1 +r ur� fa� c>,�,,_� �;s%ys�5 �����-'�C <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ce�fi(}� Ihat 1 have read <br />conecL All prov�srons of /aws e <br />wLether speci6ed herein or not. <br />violate or cancel (he provisions <br />performance of consVuc6on. T <br />work lor �vhich applicafion is nu <br />296.200 WAC. <br />�xamined fhis applicafion and kno�v the <br />-dinances governmr� fhis type o/ work w <br />granting o/ a pernut Uoes not presume <br />y ofher state or local la�v re9ulafing con <br />�m authorized by the owner o! Ilus prop <br />��d I cantpty wifh the State Conlractors l <br />:�z •� i_ <br />e fo be true and <br />campleted <br />�e authority fo <br />fion or the <br />o perform fhe <br />8.27 RCIN and <br />FEE <br />�D��OI-OzG <br />