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Mar 19 U7 U(:U3a p.l <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 — wrAv.averettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 3 AM TO 4 PM <br />3 F)14:b <br />PROJECTADDRESS <br />/ y <br />FlaCf�tIG lPtti.`F i S I �' �L�.S:L��r�I l !_/r1 �eaVT�P l�'/f% <br />Own <br />-e <br />-r <br />,p e Mall Address Cly Stntn/ZP Phona <br />I— <br />A -eS <br />Tenant (( Mall Address Clty �.( ,{ Nr>•(� sute/zip Phono <br />1 r1 1p 1 j.r 4 l !V f r r GIUJ e ���% - �JQwr 0r-214 <br />Jil � f . <br />Ele al Contractor Mall Address City statnIzlp ( Phone <br />1�Y,/- A '�I 31� �'- 6-0 W- <br />State License Number - t / Contract Pr:co of Work <br />j <br />Proposed Use of Building Contact/Person (Plan Review) <br />Description o1 Work to Be Done: j 1_ L4 l, ( - n I r leuLjl— 4;1 7_f .T e / 1 �? / ✓Yt? <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />7 <br />CITY OFEVERL-1 T LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify That l have rood and exam1nod this application end know the same to be true and <br />correct. All provisions of laws and ordinances governln99 this typo of work will be completed <br />whother specified heroin or not. TThe granting of a perm7t does not ppresumo to givo outhorityto <br />vfolafa or cancel the provisions of any other state or local low regu/ating construction or the <br />performance of construction. That I am authorized by the owner of thls pproporty to parform tho <br />work for which application Is made end 1 comply with the Sfato Contredtars Law 18.27 ROW and <br />296 00 WAC. <br />r <br />ipnaWrc i"U*A^ <br />oZ G3. <br />