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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI"T, VVA 98201 <br />425.257-8810 - FAX 425-257.8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />772-o Hnfcic'�;0A 20(cc1 <br />PROJECT ADDRESS <br />Owner Mall Address City State/Zip Phone <br />K•V 0 ii)(;n�u--' <br />Tenant /i Mail Address CityState/Zip Phone. <br />CI -I FIFr,Jt�r, r(t1�ICCo�I;ICt t'•t.c3z05 KkrY�arYl WA 'It-03b `fz`�" l,l �l`r3 <br />Electrical Contra or ail Address City State/Zip Phone <br />CFILiHEFMCI � <br />State License Number <br />C {"rfP Z LVAr(4lix,1Xe <br />Proposed Use of Building <br />Description of Work to Be Done: <br />JCo.cx" - <br />Conbact Price of Work <br />Contact Person (Plan Review) <br />I <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 />I herocertify that I have read and examined this application and k tow lho same to be Into and , <br />comethy All provisions of laws and ordinances governing this type 31won( will be complated 0 L 1 <br />whotherspecified basin or not. The granting of a pontnt does not prosumo to give authority to <br />violate or cancel the previsions of any other state or local law regulating constrncban or file <br />rm perfoance of constriction. That I am authorized by Ilia ownorof this properly to porform Ilia <br />work for which application is mode and I comply wilh tiro State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />