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EL-GCTRICAL PERM17 APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everett�va.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />187'. '•bass Avenue <br />PROJECT ADDRESS <br />Wimars Phrina 1871 Ross Avenue Everett WA 98205 425-259-6124 <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />N/A <br />Electrical Contractor Mail Address City State/Zip Phom <br />N/A $93,561.00 <br />Slate License Number Contract Price of Work <br />N/A John Beal/Keman Pbnley <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: Retrofit lighting throughtout tzarina as recamercled by Snohcndssh County PIM <br />for energy conservation. <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 I have read and examined this application and know the same to be true and DU j - J <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified heroin or not The granting of a pennd does not resume to give sulhonty to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the ovner of this roperty to perfomi the <br />work for which application is madd and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />&W 1i 4 M QNI,Qp lq 3 / g / / o <br />Signature Date <br />