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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDP,R STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />E.PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��ol� F�devac �v� i�26� <br />PROJECT ADDRESS <br />� i iC �l t�i <br />Owner <br />Mail Address <br />�" pC.. �'� A�Y l �+-�, <br />Cily <br />SWIe/Zip <br />�C ,5,���� �S �G�vv e � <br />Tenanl Mail Address Cily State2ip <br />� �)� t <br />Eleclrical Contractor <br />, <br />;��; � 1,0, �x z <br />Mail Address <br />� l � �L C-k- r ��o �� �c <br />State License Number <br />Proposed Use of Building <br />Ciry <br />ood, w�r; 5a636 <br />3c�o - y_3 <br />�i2 y9 <br />Phone <br />Phone <br />�( 2i <br />7Y2�% 6 S 1t <br />Phone <br />� i�eo . <br />�-- <br />Conlract Price cf Work � �� _ <br />`�iOi�iN � C�C f� ��-� 2 0 <br />Contact Person (Plan Review) <br />Descriplion of Work to Be Done: ��S�l� � I �.� e LJ Z�,� (�� e"� ��"��lC� S� ��% �� l' <br />G,vC.� �O�yrJf L - <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVER'cTT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify thaf 1 have read and exarnined this application and know the same fo be true and <br />correct. A.11 provisions o/laws a,id ordinances governing tlus type ol work will be cornpleted <br />whether spea6ed herein or noL The granting of a pemut does not �resume to give aufhonty to <br />violate or cancel fhe provisions o! any other state or local law regulating consfrucfion or fhe <br />perfornrance oI construcfion. That 1 am author.'zed by fhe owner of this property fo peAorm the <br />work for which application is made and 1 compty wifh the Sfate Confracfors Law 18.7.7 RC W and <br />296.200 WAC. <br />FEE <br />