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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.oig <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />CVC—`7 <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />//VN�wOrKf LPL zovU w/AIS,7o/-/ /2/7 /_ !✓�N�ll� c <br />Tenant Mail Address City State/Zip Phone <br />/-%, CL<C7/tlC 341`32 0 3017 ABC— Sw F�/�Cn/Y� v`�y. •� <br />Electrical Contractor Mail Address City State/Zip Phone <br /><PC-L�Pr _1/4f3K C/0y <br />State License Number Contract Price of Work <br />g/wcC CHAN 1014IL <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: AP&IRNCF C 11Z C Gll7 j <br />A/&Lv rAAl(C}y 11141, "t/tAl ,JyL/2rC—!? <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 I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveming this type of work will becompleted <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 oth state or local law regulating construction or the <br />performance of constructionTha! 1 am (honed by the owner of this roperty to perform the <br />work for which applrGatton ' made an comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />L /h1/L, <br />Signature Date <br />�0801-103 <br />