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FLECTRICAL PERMIT APF'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C�_DAR STREET. EVERETT WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvwv everetM�a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� ,j�� �- ,— , <br />� � �i� I ���.L�'�; /�'Z�t - <br />i 39 z� �ue��� I�v� . <br />� PROJECT ADDRESS <br />i <br />� �J.f;L'%rr 1.+�1r.11C fTpYi IYl1�A%U� <br />Owner <br />Tenant <br />Mail Fddrcss <br />Mail Adtlress <br />��N <br />St�� <br />Sta[erZip <br />i <br />Pharc <br />Phone I <br />cSlbNrf�F+ LL� 6300 �7G�k�c� C�PkFe PrLtJ4 �1*tf0 E�ERErT lJ%- 95ZOr 4Z5•"7�S7�lyt( I� <br />� Elr.ctriCal Con[faCtor Mail Address Gry State.4ip Phone '� <br />i <br />' gu N-r� � 9 N 6 r� -- ', <br />�� State License Number Contract Pnce of Work ; <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Descnp4an of Workto Be Dane F C�� n�is �IF,AI �.U6TYI-yLi�97GriI <br />i <br />� <br />I NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO <br />I BE IN RACEWAYS. MC �iR AC CABLE. <br />ICITY OF EVERETT LOCAL SALES TAX CODE I5 3105 <br />II Y,ereby certdy:hat 1 have read and examined this applicafion and know the same fo be ;rue and <br />correct. All pro�sions of laws and ordinances gow_mmg this type o/ work will be completed <br />�� �vhether specified herein or not. The granting of a pr.rmd does not presume to g:v? aufhorihj lo <br />i vwlate or cancel the Provisions o/ any other state or Wca/!aw regulating consf�ucGon or M�e <br />, perfonnance o; ccna.^.•_:;cn. �liat I am authonzed by the owner of this property to perform fhe <br />work far �vh�ch 3pplicafion is made and 1 compty with the State Contracfors Law f 827 RCW and <br />� 296.200 WAC <br />� <br />FEE �� CT� <br />L, ��,��, ��� 7 <br />I <br />