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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICE `�, og <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org 0 507 —07 y <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,j/..1� <br />ZI I� r ve,— <br />PROJECT ADDRESS I y-2t7 - sop TS y <br />I�P—� �t FzNSTI L 2tI2 �o� -�v <br />Owner Mall Address City Slatelzip Phone <br />Tenant Mail Address City State/Zip Phone <br />iz f D E I� �%v � c. Ev, l e✓✓�� scs, 10 r <br />Ec\mov-jj4,, \Jjvt %()W <br />Electrical Contractor Mail Address City Slate/Zip Phone <br />I�➢ELEE! ���iD 1 `t�2-lam — <br />State License Number Contract Price of Work <br />�;FC— <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 'G�1 t,� �-� dal I ' �cv 'e X1t aLtS ` —(A Vi, <br />wall Vt-eAi-f251 rcwloV-c ouk4r- G, MI Vo Aood/ \'.Jzd� <br />NOTE: WIRING IN NON-Dl,'IELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />'hem' <br />certify that I have read and examined this application and know the same to be true and L- `r 7 — �. <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specl8ed herein or not. The granting of permit does not presume to give authonfy to <br />violate or cancel Ilia previsions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 ROW and <br />296.200 WAC. <br />Signature Date <br />