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I r <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES S-6 —I b <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.cirg C 100 S -01 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PAS <br />,_:�Ltog (r,L^j° S+ S&_ A tta <br />PROJECT ADDRESS <br />Re(k-ins &ifj+ gs tog <br />Owner _ Mail Address City Staleop Phone <br />yes- 7gq - I - � <br />Tenant Mail Address City staleop Phone <br />SNOHOMISH ELECTRIC, INC. P,py P301I �y`'I�Zri1 qT-yi5.77S� <br />Electrical Contractor Mail Address City Slaler4lp Phone <br />•sn,o H o E-Z I UPW <br />State License Number Contract Price of Work <br />A U owg <br />Proposed Use of Bui d ig Contact Person (Plan Review) <br />Description of Work to Be Done: �%i t w^� KLW UO 0 )C OV eA' '-300 O S�A <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE / 0 0 <br />BE IN RACEWAYS, MC OR AC CABLE. , <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hens certlly that I have read and examined ills application and know the same to <br />be true and <br />correotY All proNslons ollaws and ordinances goveming this type of work will be completed <br />whether specl0ed herein or not. The grenfUrg of a pemr does not presume to glue authority to <br />vlo/sfe or cancel the pprovisions o/any other state or local law reguPGnp construction or the <br />performance o/ cronstrudlon. That / am authodzod Uy the owner 0/this na 60 fo perform the <br />work for which appllcaflon !s made and I comply wlIl the State Contractors Lew 18.27 RCW and <br />296.200 WAC. <br />CCU�a- \J1�A._d�.h 5 -S O <br />ICOS-o21 <br />