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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.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />c�ao �ve,� MG�1 c.k�a ��yo <br />PROJECT ADDRESS <br />Seve,rt�i�Ue,. <br />Owner cJ <br />Tenant <br />Electrical <br />BBTSIS�G�QO�Q <br />State License Number <br />�.+a� � <br />Proposed Use of Building <br />Description of Work l.� Be Dane: <br />:lU� <br />Mail Address <br />�� <br />Mail Address <br />j�� � �iOTAL�� — <br />Mail Address <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE'R LOCAL SALES TAX CODE IS 3105 <br />City <br />�I 0 <br />City <br />J City <br />�62og `I �s-34r� <br />State/Zip phone <br />Stale2ip phone <br />y 15-330 -7SI4 0 <br />�1�50. OG <br />Contract Price of Work <br />�'rc�nK Gotvo.f.cS <br />ContactPerson (Plan Review) <br />1 hereby certify that 1 have read and examined this application and know ihe same to be true and <br />comect. All provisions o/ laws and ordinances goveming this type o( work will6e complefed <br />whether specified herein or not The granting o(a pemut does not resume to give aofhonty to <br />violate or cancel the �rovisions oI any otl�er state or local law reguPaling constiuction or the <br />performance of consfruction. That I am aulhonzed by the owner of this property fo peAom� the <br />work lor which application is made and 1 comply with Uie Stafe Contrec(ors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />Phone <br />�o(�0 2-uo� <br />