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a <br />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 ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />34 31 Noss a.u. Sh &si <br />PROJECT ADDRESS <br />SPEr,xeP_ SMrJc6 <br />cu.s-rW a-w-o omot St SW Lynnwood WA 98031v &13:2 <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City Slate/Zip Phone <br />fhIV <br />.olcnt 253- (0 31- <br />Ltric' i� PD &K 59794 REN�r'i WA 18059 - 750 <br />Electrical Contractor Mail Address City Stale/Zip Phone <br />_P�uyrei (03-C2, $44-DO'D'D <br />Stale License Number Contract Price or Work <br />NeW SF(~ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 2100 AYV0 bVe_r' h eacl S'eY V I cep �y 1 Y I e'YOj -f-v Y- <br />NOTE: WIRING IN NON -DWELLINGS IS REQU'RED 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 becompleted <br />whether specified herein or not. The granting of a permit does not presume 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 lam authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contracrors Law 18.27 RCW and <br />296,200 WAC. <br />Signature Da� <br />E05C;s-G�1 a <br />