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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.-- + <br />3G � 3 OAKES AvE "" /' <br />PROJECT ADDRESS <br />ANDREw HA'fCN 361i IJAKEi AVE FVER�"K wA qe� <br />Ovmef Mail Atldreas Ciry State2ip Phone <br />yzs-t63-9i43 <br />Tenant <br />Electrical Conlractor <br />State License Number <br />Mail Address <br />Mail Atldress <br />RES IDENTI/�l� , <br />Proposed Use of Building <br />City <br />City <br />State/Zip <br />State/Zip <br />� �� <br />Con red Price of Woric <br />sEE A aovs <br />Contact Person (Plen Review) <br />Phone <br />Phone <br />Oescnption of Work to Be Done: RE � W1�E UNE ctRcutT - REPLAcE KAloB & Tv$E '1YP� _ <br />wIRE w�T�l Uo�l-METALu� SHEATNEp��Ro�vEx wIRE <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS 3105 <br />1 hereby certi/y that I have mad and examined this applicafion and know the same to be hue and <br />correct. All provisions ollaws and ordinances guvemmg fhis rype o7woAc will be completed <br />whether spacdred herein or nof. The granting ola pertn�t does not presume fo give aufhorMy to <br />violeteorcancelfhe rovisionso(anyotherstateorlocallawregulafingconstnid�onorthe <br />peAormance o/consPruclion. Thaf 1 am authonzed by the owner o/ this property to peAortn fhe <br />wak lor which application is made and I comply wdh the Stefe Contradors Law 1B.27 RCW and <br />296.200 WAC. <br />FEE <br />L �D/�_D �a <br />