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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 C' <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM /0 —16 —D6 <br /> 2530 51fi' St. M. <br /> PROJECT ADDRESS <br /> Martha t 414n I gm W14ielf q 0. 5�oreune, 6A. 12111 <br /> Owner Mail Address Cly Slate/Lp Phone <br /> Cathy Carter 2530 51t' St SIN. Evelrej$) WA. 1gfiV3 126-311 --2036 <br /> Tenant Mail Address Cly State/Zip Phone <br /> e <br /> Linder HexT is Service 13351 NE 16th St. bellevue, VIA. 18005 564(- 11)11 <br /> Electrical Contractor Mall Address Cay State/Zip Phone <br /> LANDEES11IbG 41200. 00 <br /> Slate License Number Contract Price of Work <br /> Single FImily �es�� enta ) r,5 n iHWwn <br /> Propos Use of Building Contact Pev&6 (Plan Review) <br /> Description of Work to Be Done: <br /> �nSt�ll 2 '10imf circuits far 1�ra9e Oyt1P�tS. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. f5 <br /> D0 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br /> I hereby certify that I have read and examined this application and know the same to be true and Oon <br /> correct. All provisions of laws and ordinances governing this type of work will be completed l/v <br /> whether specified herein or not. The granting of a permit does notppresume to give authority to <br /> violate or cancel the provisions of any other state or local law roguleting constmction or the <br /> performance of construction. That I am authonzed by the owner of this pproperfy to perform the <br /> work for which application is made and I comply with the State Contrac/ors Law 18.27 RCW end <br /> 286200 WAC. <br /> Mmaw� 1010 IDS <br /> naWf I Date <br />