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HUU-I.i-1.14 hKl iU:4L HM 11 tHEI t FERMIT SEKVICES <br />N0, 425 257 8857 <br />C) / 8// - ' 2- <br />P, 01 <br />1 <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 R CREDIT CARDS ARE NOT ACCEPTED <br />30S SE: F_Vee�T wvt �� way <br />PROJECT ADDRESS <br />Owner Mail Address city Stagy /rp Phone <br />�pIto-il-4yit 6 &S SE 6VeektT hMa-L VA -if £VEYeeTr fait- `r70p <br />Tenant Mail Address City State/Zp Phone <br />��LitlELt-1 LL'A <br />1 - tt( llry �V1C.ES &Z4 hk=tCa� 9KWy is klo6 gLl 42S �l�E� 5��kti <br />Electrical Contractor Mal Address City Statomp Phona <br />R'1 5esros205 -25 O��i, oao. 00 <br />State Llcense Number Contract Price of Work <br />,cob BOX <br />Proposed Use of Building Contact Person (Plan Revlow) <br />Description of Work to So Done: /►/Si77tt S u etTy t CGTt/ 5V5&-)& S <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 heroby certify that I have read and oxamined this application and know the same to be true and F b�lZ-0t`� <br />coned. All provislons 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 resume to give authority to <br />via ate or cancel the provisfons of any other state or local law regulating construction or the <br />performance of construction, That I am authorized by the owner of this roperty to panartrmtt the <br />work for which application Is made and I comply with the State Contrac�irs taw 18.27 RrCWand <br />296.200 WAC. <br />Signotura data <br />