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ELECTRICAL PERMIT APPLIGATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM'f0 4 PM <br />qOb 5� �ve�e�i N1All �ay <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />StatelZip <br />�� �a3--�o <br />L /0/2 ���5 <br />Phone <br />£Vefu57 �o��eyG <br />Tenanl � MailAddress City State/Zip Phone <br />GFM N�ti�nG a� C',.rol�na io. 3ox 3205 �'�r IM4 ^1f'JO(33 'l25'v21'1293 <br />Electrical CoN� �o� Mail Address City State/Zip Phone <br />C�'MHffiM95, t�i _ � 2�b�f� <br />Stzte License Number Contract Price of Work <br />�� v Cs1��D �l <br />Proposed Use of Building � <br />Contact Person (Plan Review) <br />Description of Work to Be Done: _I nSiG'l l (1Pw 'IUe✓/Y�a57t�T �k .IOCn'rE L P�JCi 5ill� <br />l�� rYYI o,`sfRY-'7 <br />NOTE: WIRING IN NON-DWELL4NGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC URAC CABLE. <br />CITY OF EVERETT LOCAL SAL.ES TAX CODE IS 3105 <br />1 hereby certily fhat I Irave read and examined this applicalion and know fhe same fo be lrue and <br />conect. All provisions o( laws and ordinances goveming this type of work will be completed <br />who(her speci6ed herein or noL The granfing o! a permd does nof presume fo give authonty (o <br />viol2te or cancol the provisions ol any other stafe or /ocal law regulafing construction or fhe <br />performance o/constn�cho��. Thal l am aulhorized by fhe �wnero/this property fo peAorm fhe <br />work (or which application is made and 1 comply with the Sfate Cont�acfors Law 18.27 RCW and <br />296.200 WAC. <br />%�%��� /2 Za- <br />rtvc2 —1� j <br />� <br />