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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—wvAv.everettwa.org / S <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L=OYd/ —//-3 <br />(TZZ w0r olos/4 <br />PROJECTADDRESS <br />Owner Mail Address City State/Zip Phone <br />k !fAq►f 6ftg <br />Tenant Mail Address City Slate/Zip Phone <br />,JA9iM'.K sot lisp /7,ff klMlft 44-W '(Sfe t£ fji9 (704 .2;7,0 oa <br />Electrical Contractor Mail Address City State/Zip Phone <br />0-(1lSCr?Ir17 <br />ZSo.00 <br />Slate License Number Contract Once of Work <br />"5_0411i j7f►i± zrf *jeL1✓ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: l �fY n ` "I 'qiw- <br />(iovatcy T-v prIVwe Soso' C/'u"/1', <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 />I hereby certify that I 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 />whetherspecified herein or not. The granting of a permit does notpresume to give authority to <br />violate or cancel th provisions of any other state or local law regu ating construction or the <br />performance of c struction. That 1 am authorized by the owner of this property to perform the <br />work for which a licat n is made and I comply with the State Contractors Law 18 27 RCW and <br />296.200 WAC. <br />IDS <br />Signal /I z <br />Signal r Date t <br />