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s <br />, <br />E�.ECTRICAL PERMIT APPLICATION <br />Cl7Y 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 />� �/2� -� �`' ,�ve S� <br />PROJECT ADDRESS <br />�a���, ���e�ey �a��'o��c <br />�'�Z9- 7r� /�✓� 5 ✓�ph' �uR �fRzOY �/25'.3�3-Z1o9 <br />Owner Mail Fddress City State2ip Phone <br />Tenanl Mail Atldress <br />(�� 9 G� � �e � �'(ec�nlc, Zvt c, <br />,_,., : , . _ <br />Electrical Contractor <br />� �,3,erG-NE Z977cL <br />State License Number <br />Propose�� ��i g <br />Description of Work to Be Done� <br />Cily <br />Ciiy <br />Slale/Zip Phone <br />z 5'LS- yz Z �z �, <br />StatelZip Phone <br />OU <br />�c�o6 — <br />Contract Price of Work <br />Conlad Peison (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby certily that I have read and erarnmed Ihis applicution and kno�v fhe same to be frue and ` U�; q.,� � <br />correcf All provisions ollaws and o�i6nances governmg fhis type oI �vork will Ge completed L� � <br />�vhether specilied herein or not The grnnfrnq o/ a pennd does nol resumo fo groe aulhority fo <br />violate or cancel Ihe p, ovisions o( any other state or local law reguPGng consirucfion or fHe <br />peifonnance ol consfrucbon. Thaf 1 arn aufhorized by Ihe owner oI lhis property fo peAoim the <br />�rork lor which application is maile and I comply i:dh the State Contiactors Law 78 �7 RCVV and <br />296.200 WAC. <br />r� <br />