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02-10 09:0861 <br />P.01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 95201 �_ <br />425-257-8810 - FAX 425-257-8857 - mvmeverettwa org <br />/Da <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Phi <br />dS ll11261A) C_j�Vf ---- PRYzS <br />PROJECT ADDRESS <br />�SZ <br />F5 L i V /g c.rA�ra ` ep/ <br />Owner Mall Address City State/Zip pi,p;e <br />Tonanl <br />fddll Address <br />City <br />Slata2ip / 'Z�, r�hune <br />/ ,G <br />�. �l�L{) <br />Spy S �CD O / <br />�1L—•�ve- <br />ePjr,i <br />off 7 m / <br />Electrical Contractor Mail Address city <br />ii <br />State Llcnnse/,N[u�mnnr ."� <br />Proposed Use of Building <br />State/Zip <br />Phone <br />lJeoti'*- l I0il 3 _ <br />Contract Price of � ork <br />Contact Person (Plan Review) <br />Description or Work to Be Done: A/1jW i� <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />I hereby certify that I have read and cramined Iris application and know the same to be true and <br />correct. All ptovlslons of laws and ordinances governing Otis typo of work will be complated <br />rvhother spacified herein or not. Me gre rling of a permd does not oresurne to give authority to <br />violate or cancu/ file provislons of any othor slato or local law regulating construction or the <br />perfomtance o cons mctlen. rhot l ant authorirod by gre onnor of OOs roperty fo perfomi the <br />work for which oppllc ion is made and I comply with gre State Contractors Law 18.27 RCW and <br />296.200 WAf.. I / <br />v <br />ratura -� 3 /� g cob <br />