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Dec OB OS 1125a McGinry Electric <br />4252524897 p.1 <br />ELECTRiGAL PERMIT APPLICATlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE'I�', WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />1�i <br />s��o- g fl� W �or-35� <br />PROJECT ADDRESS <br />� (,U.� }Z I D(a� Cbf 1.�% <br />Owner ldail Address City Slate/Z!p Phone <br />Tenant <br />tda5 Address <br />City <br />S�ate7p Phone <br />/�( C GI N 1�� G(.�CTCLlC.. <br />Electrical ConVactor Nail Addrnss City SlatelZip Phone <br />/�,{ e, � i i.! F_ C 0 0 3 N T <br />State License Number <br />SF� <br />P;oposed Use of Building <br />Contracl Pdce of Work <br />Conlact Person (Plan Review) <br />Descripticn o( Work to Be Done: ��� S f2 �' � � � u�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC Cf1BLE. <br />CITY OF EVEREiT LOCAL SALES TAX CODE IS 3105 <br />I hereby cedify fhaf 1 have rend artd exemined 16is applicafion end know Ihe same to be t�ue and <br />correct. Aft provlsions o/ laws and ordinances goveming this type of work �vill be compfeted <br />whether specifred here�n cr nof. The granting o(a permd dces not piesume to give aufherily to <br />vidate or cancel the provisions of any other stafe or foca! law regulafing cens}iuclion or fhe <br />pedcrmance o/rnnstruction. Tha(1 am aurhorized by ihe ownerol thisp roperty to pedortn fhe <br />work lor which applrcation is made and 1 comply with fhe SYa[a Conbactots Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />5��� 00 <br />_ �� I ,) ' �� <br />