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42S-252-1666 CMMF4T NG • 9j 29 SOP 05-12-2014 3K <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 /> 104 55441 Pt. SVJ GIEA M q 820 3 <br /> PROJECT ADDRESS <br /> �oni V6-Wir% So-n2t>2 a S abcwe' 425) 330 0 3 <br /> Owner Mall Address C-ly Slaerzip Phone <br /> Tenant Ma'.1 Address City Statil Phone <br /> _('�► Inc 1415 6yAJLWV C-ve eA W � EX I X125 Z5q (n&6G <br /> Electrical Contra^tor Mall Address City Sti lerLlp Phone <br /> Cm NrM H rd l 1 �fJ <br /> 250 <br /> Stale License Number Contract Price of Work <br /> Proposed Use of Bullding ^Contact Person <br /> ,�(Plan Review) <br /> Description of Work to Be Done: _ f lY.w1 W I t,_ _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 50 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hem cor iry that I have read and examined this application and know trhe same to be true and I <br /> correct. All provisions of laws and ordinances governing this typo of wow will bo completed O 5 — 070 <br /> whether specllod heroin or not. o granting of a permit does not presume to give authonfy to <br /> violate or cancel the provisions Any other stato orlocal low regulating construction or fho <br /> podoRnance of cons ruction. That l am euthodrod by the owner of fhisgroperty to perform the <br /> work for which application is made and f comply with the State Contractors Lew 16.27 RCW and <br /> 296.200 WAC. <br /> hL 7 -Jo1 <br /> Slgnolwo ale <br />