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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 />705 1,/RLA161-r 67, E✓r2E» w a gBZo <br />PROJECT ADDRESS <br />19AT 13Re—l>SPRC-c1-1E2 7J50Z So 4E5NI PL. WRg814l1 325-41606 <br />Owner Mail Address City State/Zip Phone <br />SCATT« <br />No NC, <br />Tenant Mail Address City State/Zip Phone <br />2oCp <br />C tG c-cc<r2rc x.(C. 26011 pePL9kWA4 t y#vAlLJoo16 t NggoSo 999•lo5e <br />Electrical Contractor Mail Address City State/Zip Phone <br />LA3o1L olu<y <br />WA: C,CaLGG9K`i $2r$oo,00 <br />State License Number Contract Price of Work <br />SiNCi1C- (-Ahi<4 RaSrDENCE <br />Proposed Use of Building Contact Person (Plan Review) <br />Descriptlon of Work to Be Done: d, ('0LRCG- /9Nb REL6cATC- (A?PRox 3FIE E-r) 4 10OA,PAN <br />�e--Y-�\oo6 /aL'. /cnlob+-rt..3//ir�f, C.�RC«i-r5 (ZE�V.s�f1C-- ctr-D <br />CI RCct,i5 W1T�+ AIL N6 <k Fo(L LAN•0PEr1GA WNL�&) <br />T <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 />correct. All provisions or laws and ordinances governing this type of work will be completed <br />whether sper.fied herein or not. The granting of a permit does not presume to give authority to <br />the of any other state or local law regulating construction or the <br />violate or cancel provisions <br />performance of construction. That/ am authorized by the owner or this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Signature Date <br />Nocl comt-\%MS <br />20G) g49-lo5g <br />