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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 evercltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM A AM TO a PM C- <br /> o o <br /> PROJECT ADDRESS <br /> 301 ��''� �� �Gc/ ✓e,'C� <br /> owner Mall Address city Slsta2lp <br /> Phone <br /> lenant Mau Address City Stalelzip Phi <br /> V"- { 19 0 15 �l�" fix t:� D 9Z s <br /> � A�✓h C� ► � - -9 ho•Sad <br /> Electrical Contractor Mall A110(991 City stat L,) <br /> p �, Phone <br /> l_�nni,Jur.>�1 , t.J1=1 ISst::3(r <br /> State License Number Contract Price of Wodc <br /> Proposed Use of Building �tl, Confect Person (Plan Rev ew) <br /> Description of Work to Be Done av av _e�/JP/111'/I!. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 1 U FEE <br /> BE IN RACEWAYS.MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> !hereby conify that I have read and examined this application and know the,asme to bd five end N <br /> domed. All pUslons of laws and ordinances aovemmp this type of work wif be,com eted <br /> whiither speclfNd herein or not. �Ae p h 8f a permit does not eresume to piv¢authority to <br /> Wofare or center the pmwsioniof ag omer state or local law reculalinp conahudron or the <br /> pesoVr�nance or cons. That ago <br /> auMonzed.by the owne/0r this ppPopery r�o parlprm the <br /> work for whtc ap ' ation it mode and I comply with the State COntmc4rs Law 18.27 RCW and <br /> 206.200 <br /> Sipn ur <br /> oa .a �L <br />