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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42.5-257-8810 - FAX 425-257-8857 - www.everettwa.org 3't9_..f 3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C J'9 <br />PROJECT ADDRESS <br />F-VEit£TT mvg_- 1407 SE AAAU- L� ^i r=VEQCTT wEl c1920 <br />Owner Mail Address City State/Zip Phone <br />�l)E 21 �i00 CoMMOPJ WCPLT�-'t t7Q Wfl�cNDAIi=. QA I$fJgS. <br />Tenant Wit Address City State/Zip / Phone <br />S1GTo Mrczo 62bb L16Ce_-" 01�. 2D, C-H'LL\C—Y AS, off LtS6ot �bEv)324-Z`I46 <br />Electrical Contractor Mail Address City StatelZip Phone <br />G(- Sr_-L'd M5 acts Po $kzo0 <br />State License Number Contract Price of Work <br />RETAIL N\tU{AEL- Co"O'Et-- 040)101 <br />Proposed Use of Building Contact Person (Plan Review) bu•18 <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: Iht$TaLL to TtLecoMn`��rcw�oNS �tr3LcS F�M <br />I_coP <br />NE WGQIC RACK To TWC LUG4TUN: NST4LL SPE7SKC9Z cAGL-E rFao yvl <br />i <br />N t'r�o2rC 'RAClG -Tc:) SPEwKe-2S <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. nn <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and <br />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 l 1 J <br />violate or cancel the provisions of any other state or local law regu sting construction or the <br />performance of construction. That I am authorized by the owner of this opery to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC, <br />Signature Dale - <br />