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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 8 AM TO 4 PM <br />AA-N1( �Jzv <br />PROJECT ADDRESS <br />Owner I 1 Mail Address City State/Zip Phone <br />Ewe.t-a15;njFvrtet% tits Et%y4 WA `8£y,'/ 1,15-932--ily3'7 <br />Tenant Mail Address City Slale0p Phone <br />lU1e� ra ;I��r; LC �, 15�dilre IW5 45eA WA gel �q a53-3o�1.S <br />Electrical Contractor Mail Address City Slatelzip Phone <br />MC i PZ035�c�' 1`1 <br />Statelicense Number Contract Price ofWork <br />ICJ'I Tr'-J d $C'V;CeS _ 05� .Jrvv,ytnonS <br />Proposed Use of Building 1 Contact Person (Plan Review) <br />Descriptio(n�� of Work to Be Done: l ayyNp ayj aa : Iro eKeJ0jj V of f i /t el <br />CO M P. ' by 1�oLvcr <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO ddFEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have road and examined this application and Mow the same to be true and <br />cormct. All provisions of laws and ordinances govoming this type of work will be completed <br />whether spocifia heroin or at, The granting of permit does not ppresume to give authority to <br />prow <br />violate orcancel t ns of any other state or local law rogulating construction or the45 <br />performanc¢e of c s rvct' n. That/ am authorized by the owner of this property to perform the 1 <br />work for w6tch a IiCat10 IS triode and I comply with the State Contractors Law 18.27 RCW and I I I <br />296.200WAC. (� <br />15nalu Dale <br />8/8:a"d L.588L5252bT;01 6L96ST9B88 dNI:woJJ b£:2T TT02-b0-f10N <br />