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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 <br />C_ <br />PROJECT ADDRESS <br />-anO — ?�nr_0 y`113 S `-t �'1ve vfeT1 �jkti®3 1Sq�l <br />O,erer Mail Address city Stale/Zip Phone <br />Tenant flail Address City Slateop Phone <br />(� r -f <br />SNOHOMISH ELECTRIC, INC. �,D, fS6N D-ig 5110h(a^xk\, t��A CI&NA <br />Electrical Contractor Mail Address city Staleop Phone <br />s loHto A 0 0 . 0 _:>C) <br />Slate License Number Contract Price of Work <br />Proposed Use of Building II 11 (t Contact Person (Plan Review) <br />Description of Work to Be Done: 1115Td! 1 l 1/� J Yl <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 <br />correc .. All provisions of laws and ordinances governing this type of work twit be completed <br />whether specified herein or not. The granting of a permit does not uuresume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of constiuction. That 1 am authorized by the owner of this roperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCIN and <br />296.200 WAC. n <br />"nature Dale /� <br />