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NOV-10-04 WED 04:28 NM EVEKETT FERMIT SH VIUES HY, NO. 425 251 86bf N. 03 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET T 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 />PROJECT ADDRESS <br />-C�t�1��2SC t NC, �S�iM� As PaUv-' n-7 <br />Owner Mail Address City State/Lp Phona <br />S'h o S'C -N(,t ( St Z: �'n4 Ass' � � 355 <br />Tenant Mall Address city SlatetLp Phona <br />4E NW- S C R1C ML-1 <br />EtezlricalContractor Mall Address City State2lp Phono <br />Stoto i.irenso Number Contract Price of Work <br />Proposed Use of Building ContactLPerson (Plan Review) <br />Dcccription of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310S <br />1 huroby cortity that 1 have read and oxamined this applicat/on and know the same to be true and <br />Can oc1. All piovf Iona ollaws and ordinances governing this type or work will be completed <br />wlruLherspaclfiet�hvrvn, urrot. rho granting of permit does not paresume to glvo authority to <br />violate orcancol tha provfcions of any othorst,�Itto or local law regulating construction or the <br />por.'armanaa ofconsin,ction. That l nm authcZad bytho owner of this property to perform the <br />wnrlr for which applfor, Oil Is made and 1 comply with the State Contractors Low 10.27 RCW and <br />\ . 0 WAC. <br />1 <br />si0r,an o� '" oota <br />�a <br />