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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />C-Vt t2ETF- RE'n41L <br />9� i �ty(u�Tg s 8 w fl <br />PROJECT ADDRESS <br />I OS)0 N.& - N 027•li2u/P WA-4 <br />2S LI_ <br />A'E)2G-7i R��iaiC �A2ffJE'�- 6LkI V Izo KltZV_La�lo wvr <br />Owner Mall Address City StateOp Phone <br />9 a 0331 <br />j�:I2E%}IL '31 ttL� %'MILL !yA eycy?.E uJA 9 BZ(1$ <br />Tenant Mall Address City Stateop Phone <br />tits-sas z3Y� <br />BA2rt (?GZ..ot <br />Electrical Contractor Mail Address city State/Zlp Phone <br />511ANEEL.ggo-bq 5-7,-731.00 <br />State License Number Contract Price of Work <br />I�e­nwt (, SPA-c,6- LARW-t 4R-p,4E_ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: N�"$ il'YLc.t�j"Lonl <br />tit'; <br />600 4v,-e <br />S eA-y Y C cF TD <br />�r% 1-f f�-t��rft L &- <br />SeA-CS <br />A W <br />A -LSO <br />•LP - OCAT DOO-x_ <br />G 7W-trd , GC4, t t.' _ <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 />that I have read and examined this application and know the same to be true and <br />,visions of laws and ordinances governing this type of work will be completed <br />'ad herein or not. The granting of a permit does not presume to give authority to <br />'I the provisions of any other state or local law regulating construction or the <br />construction. That I am authorized by the owner of this property to perform the <br />application is made and I comply with the State Contractors Law 18.27 RCW and <br />