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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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />27o2 t-o j+ Avemile eytvt,4+ wa. 9$1-o I <br />PROJECT ADDRESS <br />�to� ����— <br />z�yo I�G'1M9Y�gx itit^rkk <br />WA 9�6vo4 <br />Owner <br />Mail Address <br />City <br />State/ZIP Phone <br />C r o% EyacN LlbvA+tn <br />2�02 `�} Q�c <br />%VeIAk4- WA <br />gSZo 7 5 S SeI-Zg33 <br />Tenant <br />Mail Address <br />City <br />Slate/Zip Phone <br />4Z5-b51-o35� <br />r n��/I���������NI C4,I <br />PNTQ�YL1 /111.(. r'y"�'"`�^ <br />C'ITNp I012 GGI'I +YA I <br />QJG S K "t <br />WAI96o32 <br />Electrical Contractor <br />Mail Address <br />City <br />Slatc2ip Phone <br />N1A (,ovv VO4vtoe ILSSiI�w <br />PEaF�NAoosBS <br />-70dwrr.�s <br />State License Nu,tber <br />_ <br />Contract Price. of Work <br />Li4p <br />Proposed Use21�f Building <br />Contact Person (Plan Review) <br />000 S°I Yu� <br />II / <br />(G�ISv/� IOv Uiu� <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: <br />Q OROP b4VAC �N{YolS 01W <br />1.'1� <br />Ci1S�}vly✓f1 d11 <br />(L6W <br />Z J I OvJ YO ILGt L <br />NOTE: WIRING IN NON -DWELLINGS IS REOUIRED TO <br />FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />IJ{�y� i�,l <br />Yi' JV 0 O <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and ;:now the same to be true and <br />correct. All provisions of laws mind ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not resume to give authority to <br />violate or cancel fhe pprevisions of any other state or local law regulating construction or the <br />to the <br />performance of c nsfruction. Thai I am authorized by the owner of this roperty perform <br />fion is made and 1 comply with the State Contractors Law 18.27 RCW and <br />ork for whiT44 <br />296.200 WA <br />\ V. (—(S^IZ2 <br />ZOOI1.00'd VL6# b9:CL CLOZISlILO <br />WOJj <br />