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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 S AM TO 4 PM <br />� 5� S%� IL,Jr��z �,� �t��LL (nl /�-y' <br />PROJECT ADDRESS <br />Owner <br />Tenan[ <br />�j�7��.�_ �� �� _ <br />Eiectrical Contractor <br />'' 1 LLC, Z? � 6 <br />Mail Address <br />i�l� ��SCJ l�ty S� <br />Mail Address <br />� J�/ `_� {j -�17�,UC <br />Mail Address <br />�'.����Jltit� 15� � _ <br />State License Number <br />15r�r �-��Cr"�- <br />Proposed Use of Building <br />Ciry <br />�1� <br />City <br />i �lL �� �Zi I z <br />Stale/Zip <br />'lif� 12 GJ+� <br />StateRip <br />�V`� (n_)�% �Z7 <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �N� I ���— �'{� L- ��� ��" ��� ��Fl r� � <br />j,L,�/+G C_. S l ( �v <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 />FEE <br />1 here6y certify Ihat I have read and examined this application and knovi the same fo 6e true and <br />correct. All provisions of laws and ordinances goveming this type of work will be completed <br />wFtefher speci(ed herein or not. The granfing of a perm+[ does not presume to give aufhority to <br />violate o� cancel the provisions o(any other state or local law 2gulating construction or the <br />performance o(construchon. That 1 am auLhorized by fhe ovmerof th�s property to perform fhe <br />work (or which applicafion is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 bVAC. , <br />d//U <br />Z <br />Phone <br />Phone <br />Phone <br />