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( � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � `ZZ�-�( <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org �'u� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G�IOq <br /> 2 (015� (�jUc kp.�' �t—iV c� <br /> PROJECT ADDRESS <br /> �2S _ 356.�I2's-1 <br /> �� D�:�as ��-� qe� .�.5� ��Ie�more-�-l�e, Gil¢len �$2or <br /> Ovmer Mail ddress City StatefLip Phane <br /> Tenaot Mail Address Gry Statel7Jp Phone <br /> SNOHOMISHELECTRIC, iHc. �.p., (�uy ���� �,�w��,t�cF�, ►-.lA �K2�1� �2S-:��5��7�� <br /> Eledrical ConVactor Mail Address City Slale/Zip Phone <br /> SNC H b i-Z �l c�P��1 �c3, 03/ . O G <br /> State License Number Contrad Price of Work <br /> Proposed Use of Building Contact Person (Plan Rev;9w) <br /> Descriplion of Work to Be Done: /Ue �% 4' Cra F`1G rnQ T�'� � � hQ "J_ na�� , <br /> 1 Ce'hm0�c� � .1 1�1'1Q ��' 7;�-�� �'lU��:.e, ���Y�Q� � V C1rLW 1 � <br /> � Y 1^�a r� S <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO `EE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat 1 have reaJ and sxamined this applicafion and know fhe same fo be true and (�/,� <br /> correcf. All provisions of laws and ordinances goveminq thls typo ol work wil!be complefeA �I1"Vr _ I � <br /> whether specified herein or not. The granting ol a permrt does not presume to gi��e authonfy to <br /> violafe or cancel the provisions of any other state or Ixil law reg�la6ng construcfion or the <br /> peromtance of construction. Thaf 1 am authorized by fhe owner o(fhrs property to perform the <br /> woric/or which applicatron is made and I comply with the Sfate Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � � �� <br /> , <br /> � (.l�,. '�1„�,�.dCJ� � - � Z -' �� <br /> Si n 1 re � �\ Date <br /> � J <br />