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51gg1 <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 % - a4 -11 <br />C-%Iw7-I( I <br />73 T, sr s <br />PROJFCT ADDRESS <br />TL,i- ►QuoSpa-cs- I Sr 5-- —75f'-' S7 svi 1EYLIC 4 wA �Sob3 <br />Owner Mail Address City Stale/Zip Phone <br />t) rt <— <br />Tenant Mail Address City State/Zip Phone <br />WOc,S 34"rNCAWKI ( SS 3S I'ft"O1 A✓L IVa Qp1(YWII(1— L/A crso7t Vtj'ye3 Z07 <br />Electrical Contractor Mail Address City State/Zip Phone <br />',�j P C J T i `1 I Z M l 1 300o <br />State License Number Contract Price of Work L <br />Proposed Use of Building Contact Person (Plan Review) <br />U,6IJ <br />Square Footage (If residential new construction, remodel or addition) <br />r <br />Description of Work to Be Done: _ rt}" k W N +0 (1) V Av 1H) i <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have mad and examined this application and know the same to be true and <br />correct. Allprovisions of laws and ordinances governing this type of work will be completed <br />whether specified heroin or not. The granting of a permit does not presume to give authonty to <br />violate or cancel the pprovisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply will) the State Contractors Law 18.27 RCW end <br />296.200 WAC, <br />i <br />art✓ �� -7 2JI"i2- <br />Sgnalure Date <br />