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l � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3.-G--/Z <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org GI �3� a� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1-{�So (P Calenhav�� d� <br /> PROJECT ADDRESS <br /> �2�.�an V�IQ a< F��e 3 22-b �ve�cz�{" WA �i�2l 3 �2S -ay4 �3So <br /> Owner Mail Address City Slate/Zip Phone <br /> 1 V`G c U �4-!e n��Y� �i 80 b �v�e.ti 1nd�l� �2 GUQ fQ"` t � <br /> Tenanl Mail Address City State2ip Phone <br /> SNOHOMISHELECTRIC INC � b• �1�, Z7S� S(1��iU � C��S�� l �Z�-335-1751 <br /> Eleclrical Contraclor Mail Address Ci1y StatelZip Phone <br /> ��5�• �� <br /> �ti1n H O E.-�- 1 I o P U�( �� <br /> State License Number Contracl Price of Work <br /> �l � <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description of Work lo Be Done: _ rp P� ��'� �� YaC-I'�G �h <br /> w�� v�.4� zoo fl mP Pa-v,e,l _ <br /> �UY� Y1 Q�) G\C CL��i- "f�` ����'� <br /> U <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 3105 <br /> I here6y certify that/have read and examined fhis applicafion and kno�v the same to 6e true and �f Ze�3��Z 9 <br /> correct. All provisions ollaws and ordinances goveming Iliis type of worlr will be comple(ed <br /> whetlier specified herein or not. The granting of a permit does not�resume to give aufhonty to <br /> violafe or cancel the Provisions o/any ofher stafe or local law regulating construction or the <br /> peAomiance o!consfruction. That I am authorized by fhe owner o(this property to perlorm fhe <br /> work for which application is made and 1 comply wifh the Stafe Confracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � <br /> � 3 i 12 <br /> S alure Date <br />