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� <br />ELECTRICAL PERMlT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, V1,'A 98201 a`� �� �� <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org � j�� Z„t <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/7?0 w. /}7Gr,'�� U,'e�J �' <br />PROJECT ADDRESS <br />Po(7� O�C�Je�e � <br />Ovmer Mail Address City <br />� Ka %/'e� <br />Te ant <br />IES Commercial <br />Electrical CoNractor <br />IESCOCI929JB <br />S�a�e License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Mail Address <br />: �e�J�� 1�20u1�1e�.'.re <br />Ci�y <br />1611 E Marine View Dr. <br />Mail Address ��W <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />Stale2ip <br />c�,�rc7`7` <br />StalelZip <br />Phone <br />y2s= 2T'i- e <br />y�1ol <br />Phone <br />Everett SdA 98201 425-252-2107 <br />StatelZip Phone <br />3s0 � <br />CoNract Pnce of Work <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hpreby certily fhat I havo �ead and oxaminod Ihis applicalion and kno�v the samo fo bo Wo and <br />correct. All prnvisons o/ laws and ordinances govornmg (his type o( �vork �vill b� complefed <br />whelhor specAied herein ornoL Tho granfing ol a pemtR doos nof Presume ro grve aufhority fo <br />violatr, or cancel Ihe provisions ol any ofher sfale or local law regulafing co.�strucfion or fhe <br />per�ormance o/ consbucfion. That 1 am au(honzed by Iho o�vnor o/ this property fo perlorm fho <br />I�vork !or which applicalion is rnade and 1 compty �vdh tho Slafe Confraclors Lmv 78.27 .RCW and <br />296 200 N �AC. <br />�' �y� �/,el-��-��� z/�y/' <br />Signature Da1e <br />FEE <br />� ��1, �-C�LC� <br />