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ELECTRICAL PERMIT APPLICATIO14 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v✓ww.everettwa.ora <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />7 HOYT �U� EVER-fTT Lf��'f" i� <br />PROJECT ADDRESS <br />17Y Of EyFAFT 3200 Let)IFA STREET �:VFAF. r P'i Qtx 1 42S 7.v- goo <br />Owner Mail Address City State/Zip Phone <br />EVCAETT LliP-APY I+OYT A✓F 1P✓eeE rr (in %?'11 yz5-- ...� <br />Tenant Mail Address City Steta0P Phone <br />Electrical Contractor Mall Address City <br />VALLEr-C 1NINA- <br />State License Number <br />1 �P-A AZ <br />Proposed Use of Building <br />StatelZlp - Phan <br />0. 9,373 el: <br />Contract Price of Work <br />MIKE Ausrr,✓ <br />Contact Person (Plan Review) <br />Description of Work to Be Done: li DD F,REA KE <:S C I R C W 7 i A 10 n CON;-,.. i I o NS FO A NE tN <br />HVAC- EcUiPV-AA- J ; <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 />read and examined this application and know the same to be true and <br />iws and ordinances goveming this type of work will be completed <br />r not. The granting of a permit does not presume to give authority to <br />dons of any other state or local law regulating construction or the <br />in. That I am authorized by the owner or this property to perform the <br />is made and I comply with the State Contractors Law 18.27 RCW and <br />;1� 0603-095 <br />