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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-Nnw+.evere1Ima.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />.i� R S C .40rt <br />Owner Mail Address City sta1W21p Phone <br />T �7 - r/-f �eO SPACE !Del 102 2 9 "' ✓F 1n/ ��:.�� F elf 19 <br />Tenant Mall Address city �yu� f� SWOOP WA gjZ0y Fh <br />Wc-353-80� <br />aA5e-/t/orll �1-Ec �� 6�ou� /S3z3 .trii Rom ST Rulmorid, I✓A 9S052- <br />Electrical Contractor Mall address city c�� StaelZ p any - PZ3 rg(c06 <br />,PA EC.T,� 4? 96 9 t H Contras P is �� Work � <br />State License Number <br />OGP/GKZMAtj U F115714A4 A)14 d4�41 <br />Proposed Use o ullding Contact Person (Plan Review) <br />Descriptlon of WorktoDe Done: 1 ro✓r� �/�7S�1 ?i �� ✓ C"%L"(/TS <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 />I hereby certify that 1 have road and examined ads appficat/on and know this same to be taro and t9 Z" <br />eorrea. A!1 proNsions of taws and ordinances govemin99 this type of work will be completed <br />wltolherspeGl/ed herein or not. ��thre granting of a pemrlt does not presume fo ghe aufhorlry to L <br />vlolofe otcancel the pproNalons of any other state dr local taw regulating constrtrUion or the �� �U - <br />��once of consfmcHon. Thot I ism eufhodzed by the rnmer o/fhls property to perform the <br />work for w rch appliceUon Is nwde and / cromply with the State Contractors Lew t8.27 RCVJ and <br />2gB.200 <br />•7� /r <br />ftnalare - r115ate <br />Pr-e ,rr * I I . '1 I sd f_ <br />I"d 9999£Z99ztr dri02do OW10313 NOISI03ad PZV 90 t t L Inf <br />