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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.everethya.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '/Lro_0'6 <br />a$w wetmore" <br />PROJECT ADDRESS <br />-Mn4%j 4LOWxon Uk jG A%Q u-*iWMXt Akk F-4af - ILA q%aD1 LIA5- Ay4t - 4- <br />Owner Mail Address City StatelZip Phone <br />sa"L <br />Tenant Mail Address City StatelZp Phone <br />UkstSeet•1kk6iu.Yta1 ,Lu. (p9a) 314th* c SW Sed44 f W01 981dlo a*_ (11759.3 <br />Electrical Contractor Mail Address City StatelZip Phone <br />WE5TSSWf101W5 4ISLa fo <br />State License Number Contract Pace of Work <br />lcirt� bamae 6M611bed"Oin <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 0 lM 144CC kd 15 a"f! &fakax 1 r-s GtU § " Paml <br />for _So�a r " S1 skm . <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 />1 hereby certify that 1 havo 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 be completed <br />whether specified herein or not. The granting of a permit does not resume to give authority to <br />violate or •noel the provisions of any other state or local law regulating construction or the <br />performs � )f construction. That I am authorized by the owner of this property to perform the <br />work for) i... n application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.20( 11 �( <br />l0-15.10 <br />FEE <br />Auto-095 <br />a <br />