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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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> PROJECT ADDRESS <br /> � Qab01,5n ' 31`A Sot_P�. SW - A 425- 231 -9'i5c <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> PRESTON ELEcTPtc 22 SoAck,. .sA„ C,uuadA tjm9k2c3 WzS-29a ')63Q <br /> Electrical Contractor Mail Address City Stale/Zip Phone <br /> PSC ST6-Z 9x33 C ll -- <br /> State License Number Contract Price of Work <br /> 5.1, D_ — <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: Hol I" A c t:L,--t <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 certlly that I have read and examined this application and know the same to be true and <br /> correct. All provisions ollaws and ordinances goveminpp this type of work will be completed <br /> whether specified herein or not. The granting of a perm7f does not presume to glue eufhortty fo <br /> violate or cancel the pprovisions of any other state orlocallaw regulating construction or the <br /> peAomrance of coni l chon. That I am authorized by the owner o/this roperty to perform the <br /> wd I for which application is made and 1 comply wlfh the State Contractors few 18.27 RCW and <br /> 296.200 WAC. p <br /> `j- • , Jut C Z 3 <br /> Signature Date <br /> CeUl9'�l� <br />