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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.everethva.org E 1 313-0 9/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ftlill <br />`-iZ/Z RtxLV,'Et2 <br />PROJECT ADDRESS <br />Ue 217- R'Aev<d- (k,;` EJ,r�7T Wrq 5s'202, <br />�b S3Z <br />Owner Mail Address City Statc/70 Phone <br />Tenant Mad Address City State/Zip Phone <br />Llewel �f «ir.'� N4/4 �TrnNp AE Fvarr.Tt- 06 9pLo3 6/ZS-79o-1)00 <br />Electrical tontractor Mail Address City Statefzip Phone <br />L.LEWEEA- 9/7OLJ A `)-1go. <br />�� <br />State License Number Contract Price of Work <br />Use of Building <br />Lescription of Work to Be Done: <br />Contact Person (Plan Review) <br />nlP..�2v.Q.-t &is a "J _',.,;La 1 m.4heP,aLn1.J �'•'Y' A ey% <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 />I hereby certify that I have toadmid examined this application and know fire same to be Inre and <br />correct. All provisions of laws and ordinances govemarg Cris type of work will be completed <br />whether specirred herein or not. The granting of a permit does not resume to give aulhonty to <br />violate or cancet the !provisions of any other state or local law teguPfingllieois,tieroffliispconstruction or the <br />work or7whichfaohcaatiotn is made and I comply Z with fire State Contractors f 0 c RCW end <br />296.200 WAC. pp <br />G' -/9- 03-13-Z1013 <br />FEE <br />t1303 - Cq I <br />QN <br />