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i <br />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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />/yOZ Se_ Evee.4 474// /ae c d'500 <br />PROJECT ADDRESS <br />OwnerMail Address City StateOp Phone <br />. jr, laL .b2[. /YDZ Mail <br />*/1 " £yc.�f+f lM/'� ipQ9— SZ7— /00 <br />Tenant r <br />e-er✓ .NeOnJ Gc 75(oo /-14 /z.-e £ucr,44- I,rt7- 9$Z03 z/7S -224 kR3s <br />Electrical ontractor Mail Address City StateOp Phone <br />p � /0a fi0 <br />State Lice se Number Contract Price of Work <br />P40�ts / re44rG UC_ >LO . <br />Propose se of Bui ing Contact Person (Pla Review) <br />Description of Work to Be Done: / >/4tG ('I) Sr4 c,� P4. r_ 4,o,v. Z-1 Z e44ea o <br />-Co r G i nic )/4 r 4.J ; re <<s5 i A; 'f%- Ar4LL. <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 />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />Work for which application is made and I comply with the State Cintractors Law 18.27 RCW and <br />296.200 WAC. <br />Sin a Date <br />ED sQy-vs-7 <br />