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IDrec-17-10 09:16A P.01 <br />I t <br />I <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CSDAR STREET, EVERETT, WA 98201 1 —17— (p <br />425-257-8810 - FAX425-,'57-8857—www.everethva.org 7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />./o �.P,��S�.� f � � _ •s�/�!_y u�iy �i/•.�,o�- E:l�`• y����, _3 y1 � �- <br />Owner Mad Address r City StateZia Prime <br />Tunint <br />Z47v drily- 511`5 <br />Contractor <br />State License Number <br />�r S <br />PrOpused tlse of Budding <br />Description of Work to 8e Donn: <br />Mail Address <br />City <br />Stata,zip <br />Phone <br />Mail Address <br />City <br />Stale/zip <br />Phone <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABL[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />i hereby caidy that f have rend and easmined Mls upplicat/on c.nd Fnow the same to be true and <br />couect. All provisions of laws and ordinances iiovmrrrng this type of work will be completed <br />whether specified heroin or not. Tho granting of a permit does not I)resume to give authority to <br />violate or cancol the previsions of any other state orlocaf law reguhrting Construction or the <br />penoirhaneo of construction. That I am authorized by the owner of 'his proporly to perform the <br />work fonvhich application is made and I comply mill the Sfata Con tr <br />29ri 200 WAC. actors Law 18.27 RCW and <br />FEE <br />