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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-251-8810 - FAX 425-257-8857 -www.everettwa.org E 6)S96-1 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> IL110 -SOt`• SA - S ,\/ <br /> PROJECT ADDRESS <br /> f QC&r tftnl WXViWA.Lse 141 -�o*NSt sW IE�eretk,wn �s�2o3 (wzs)��1-s�s3 <br /> Owner Malt Address City Statafap Phone <br /> Tenant Mall Address city Statemp Phone <br /> „nii"icj1 Pat'_' P;i , 2221 CCtk rutin Cva r0 4 1,%lW- <br /> Electrical Contractor Mau Address city Steb/2ip Phone <br /> SON I TE 2l 1 N V1 I OInG .ao <br /> "tale License Number Contract Price of Work <br /> Was-041 C)L(5 A ,- <br /> Proposed Use of Building Contact 1 rson (Plan Review) <br /> Description of Work to Be Done: ly\t>�00.\Vo'}l O N n-t/1 04, (CLU V r7 I +eAj _ <br /> SI�S..11`Y t}"L\ SLiSf1'_I I 1 <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 read and examined this application and know the same to be tnre and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does riot surre to give authonty to <br /> violate or cancel the provisions of any other state or local law regulaZg construction or the <br /> performance of construction. That I em authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br />