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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 />�QcL/'ev- _F"`d Ma1" veye$ cJ6 ZDS, <br />I j 6W <br />PROJECTADDRESS ZO <br />Owner Mail Address tity Slate/Zip Phone <br />Tenant Mail Address City State/Zip Ph4one <br />Dot 5 DONJPI J �2Z L�C'tl p/ Ll( LI14i 1,,ci <br />Electrical Contractor Mail Address r City StalelZip Phone <br />o� <br />ITH <br />Slate License Number Contract Price of Work <br />oil <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: �%«' rV c e' e 1— /'97 Sett// <br />�la4lt ` S'UIer�T coAl- ru 11,., <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, NIC 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 of laws and ordinances governing this type of work will bo completed I� <br />whegterspeci9ed herein or not. The granting of a permit does not presume to give authorily to <br />violate or cancel the rovisions of any other state or local law regulating construction or the <br />fe ns mctinn. That I am authorized by the owner of this property to perfomr_ the 17 <br />irork lorwhich appli_tion is made and I comply wilii the State ContmCtorS Caw rd.zr KUvv an <br />296.200 WAC. // 11 - <br />5. <br />