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, - <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �2 �/!S �� <br /> 425-257-8810 - FAX425-257-8857—www.evereriwa.org r/',�/2 �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> G(N <br /> Z SZ 3 �,�/e��ore ,��e. <br /> PROJECT ADDRESS <br /> �e '�ti 6�o��el� Zz�zi s� zy� �'� SG�,.�a�rs4 a��/9y��r Z06• 7/y9yY <br /> OvmO� �dailAOdress City State/Zip Phone <br /> Tenant MailAdtlress City Slate/Zip Phone <br /> IES Commercial 1611 E Marine View Dr. Everett WA 98201 425-252-2107 <br /> f.leCtricalCOnlreclOr ldail�ddress City StatMZip P�one <br /> C <br /> IESCOCI929JB � ��� � -- — <br /> State License Number Contract Price of Work <br /> �? /c,t- <br /> Proposed U e ol[3uilding Contacl Person (Plan Review) <br /> Descnption of Work to Be Done: �\E-'/�/a� G ����'� U'� /��F �•k ���1W�r "^�� <br /> r <br /> �f. (�, �c+ <br /> / <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 J' <br /> I hereby certdy Ihal I havo/ead and eiammed fhis applica6on and Fnow fha same to be fn�o and `-.�-��-�� 2 - �-'<,�j <br /> conect. All provisions ol laws and ordrnancas governmg(his type ol wurk wdl be complefed <br /> whether sp�ciGed herein or nof. Ths gronhng ol a pemuf does not orosurno fo givo authonty fo <br /> violaf^or cancel tho proviswns ol any ofher stafo or local law re�ulatmg constnicfion or the <br /> pedormance ol construcfion. That I am aidhonzed by fhe o�vner ol(his property to peilorm the <br /> work for which application is mado and I compty wifh Iho Sfafe Conlracfors Law 18.27 RCW and <br /> 29620011AC. � y <br /> . � / ,';�:�>;� /i <br /> �``_'l � �`��". ` '?/,i�i%o <br /> SighaWre Date <br />