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Jun 05 08 10: 24a C N C 425-379-9733 p. 2 <br /> 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 /> PROJECT ADDRESS <br /> elyc5 CzrL elt 442...) Le-• 33-).s )t,c-a 6.0 <br /> Owner Mail Address City State/Zip Phone <br /> agi9_ - 1 <br /> Tenant Mail Address <br /> City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: h6_61.vtOqrn cj; 4 a►_ 1 <br /> C4‘.ckt-S -+ 1rJ Stork-Ate-A, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> f <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /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 be completed <br /> whether specified herein or not. The granting of a permit does notresume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> work or which appl cationois made and I authorized <br /> with the State Cont actorspLawy18.27 perform <br /> CW and <br /> 296.200 WAC. <br /> Signature 6, o <br /> Date <br /> Fd&cG - C3 Z <br />