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Jul 26 10 04.00p Rob 425-334-7056 p.2 <br />I <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, lNA 98201 <br />425-257-88 i0 - FAY 425-257-6857 - www.evereL�ima.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO PM <br />�33 ti rT�iCc ; Son <br />PROJECT ADDRESS <br />t 1�errc. Cor%S�i V7' Q t)-e Ik-S4e- s c IA - <br />Owner flail Address Crty Stale2lp Phone <br />renant beat Address City State/Zip Phone <br />.�V.}�' C/ %i��c°jT�lP,7'0-; <br />Electrical Conlracter Mail Address City Stale/Zip Phone <br />Y <br />State License Number Con7aot Priceof tNor!c <br />Proposed Use of Building Contact Person ,(Plan Review) <br />D_saiptlpn of LVoi< to Se Done. <br />i <br />NOTE: WRIN3 IN NON -DWELLINGS IS REQUIRED TO rE <br />BE iN RACEWAYS, I'AC OR AC CABLE. <br />CITY OF �2R❑. i LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and knew the same to to !rue and E we -j C <br />ccmect. All provisions of taws and ardinances governing th,s type cf e:•aic %-VT os Completed <br />vRlether spa:rfied hereir. or -not. Pie g.'anfinq of a permit does not presume to give authorityt.^• <br />violate or cancel the provisions of any other state or local law reowatino .construction o' five <br />performance of consTuai on. That I am autionz9d oy the mvner of this prepeny to pperfomr ;he <br />work for which appiica:ion is made and I comply frith the State Contractrs Law 53.27 ROW and <br />2a3.2W V A' C. <br />