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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />WV-f Aj*yj1( View pit, <br />PROJECT ADDRESS <br />6'V9X9ff m"4 ✓ 14AG P-0. dt)e )7a1 'E44ff1, t 98La6 <br />Owner Mail Address City State/Zip Phone <br />I 000 "I bl <br />Tenant Mail Address City State/Zip Phone <br />W1004t 31(Ar Ca1V 1 zj-r weroilt ^f, /4 yn!"J t fs/09 (j'!)Z y-070P <br />Electrical Contractor Mail Address City State/Zip Phone <br />ArR-fi05 (0 3 [fil3 2Sr <br />State License Number r Contract rice of Work <br />/Undmw( 51i'T 7�twftSr�Lyn/ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: (�f�'+'� Pi✓Cr1lW /GG4nlN�fQ [nnff't .f fl/✓ <br />6`Wkzf -re 614311AA(' WW' C"I"I f' <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 '' t <br />I hereby certify that I have read and examined this application and know the same to be true and v0 9 ✓ f! <br />correct. All provisions of laws and ordinances govemrng this type of work will be completed <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 list ch. n. That I am authorized by the owner of this property to perform the <br />work for which plic on is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. _Z <br />Sign lure Ir Dale <br />