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ADr.91. 9009_ 9:55PM Snohomish Electric _ v V,� �No.35J� 1 <br />O C <br />Icc <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9B201 <br />425-2.57-8810 - FAX425-257-BB57—wws4.evkorottwa.org <br />APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 Pht <br />PROJECT ADDRESS n <br />\N \ C two s S1 �` CA IS A-(, a 0 �--- <br />Gwncr Mail Address Gty Slale211) ['hone <br />} <br />Tonanl Mall Address - city Stale/LP' Phone <br />SY, om�S� ��c� nir �d ( z a ��( Srml�� <br />Eluc4ic,IContractor Mall Address city stalo0P Phone <br />S';-,ohd.ei eta PLJ: <br />Slate Llcen;;a Number CoatwGI Prico of Woo; <br />Proposed Use of Eu7ding Contact Person (Plan Rev,Iew) <br />Description of Work to Be Done: rC•i�JIJ� S a C.IA,��, •t�c�, YV�-I�'�-k'�i`d1Y`I( <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />Be IN RACEWAYS, MC OR AC CABLE., <br />S� a� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />'here <br />certify that I have read and examined this application and know (he same to be tnre and <br />co recf. All provisions of laws and ordinances governing flits type of work will be completed <br />whether specified herein or not. The granting of a perm I does not presume to give aufhor(y (o — CR 1 t u, <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of cons1ruc(lon. That I am authorized by the owner of (his roperly to perform the <br />work for which application Is made and I comply with the Slate Confracfors Law 16.27 RCW and <br />296.200 WAC <br />QQ� C,\ <br />SIOn 1 ro Date <br />C,w ItN G(-- <br />1?1 <br />