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i <br />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.everettwa.org <br />APPLICATIONS ARE ACCEP'j'ED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />i-''? Al"d�qc.A 2 d - G�-ri-,7fw4. 9�Zo3 <br />PROJECT ADDRESS <br />�4r iJ 332-?/ <br />J(iC rGt�XC593o LlieteV- t✓R. )9Z03 <br />Owner Mail Address Ci State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />�Hr� L �tctr� Lnc. PC2 E;a 2/S crr n. Vt 9��Yi-/z/i L? '// 25 <br />Electrical Contractor Mail Address City State/Zip Phone <br />Stale License Number Contract Price of Work <br />0rs,c/rare- 'n.-4 G..r/ y2 T—+/2t•7L 81 � <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: ^ $ 1^ ( 7r �n/�, n/ L� o t r (C <br />r� <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 />1 hereby certify 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 specified herein or not. The granting of a permit does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for <br />which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />298.200 WAC. <br />- 7 <br />15� Date <br />�Qµ(v� <br />