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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 7 ` <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org C-/ 20 7-- D 53 <br />APPLICATIONS ;ARE ACCEPTED FROM 8 AM TO 4 PM <br />:7.000 WbFsw <br />PROJECT ADDRESS <br />CoyArmyAi m Tn,A^Js Ir <br />Owner Mail Address City Slate/Zip Phone <br />Tenant Mail Address City SlatelZip Phone <br />W.F FEYMED ROA146 7711-0 SFy+Wje Ww► 5C04 <br />Electrical Contractor Mail Address City State/Zip Phone <br />PaFFEF192,57PL a0 0 <br />State License Number ' Contra t Price of Work <br />'SLF TM (ZM IV WA Vt lS <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: FAT)Aw Room TI <br />DEwo ('L 111(A krS A00 !)IMryIWt, P, 000,T 70 (Z) UAHTT, A00 <br />DI WI ACIL 17 AEK (47tV rAL(F.s <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. 4 /D 7 , S w(J <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby codify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether spe 1iied herein of. The granting of a permit does not presume to give authority to <br />violate or cancel the prov to of any other state or local law regulating construction or the <br />performance of constructi n. at I am authorized by the owner of this roperty to perform the <br />work for which applica ' n 's ma and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />I IL <br />gnature Dale <br />