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E!_ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vrvmeverettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />_I N2q Vo P SW <br />PROJECT ADDRESS <br />52 iiti beef, a Ceniv iGc Hh 12 NE al 1-h ien b* UA / 4 PI f -- <br />Owner Mail Address Cdy State/Zip t'a me <br />Tenant Mail Address City SlaletZip Phone <br />KvDatep3 Re.Frgtwlire n7f, wi _m SJ, s 4pk (•&Lfly"le x 2cG-74r-17 rl <br />Electrl ntractor Mail Address City Slate/Zip Phone <br />le-wki9t°I,Sl gh zsp, r-d <br />State License Number Contract Price of Work <br />�2 (OW4 -7oG-76T-17pL� <br />Proposed Use of Building I Contact Person (Plan Review) <br />Description of Work to Be Done: Zi 1 / �/ I C1 / 1 I r jq 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 />1 hereby cattily that 1 have read end examined this application and know the same to be !me and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified heroin or not. The granting of a permit does not presume to give authority to <br />violate or cancel the revisions of any other state or local law regufating construction or the <br />performance of construction. That I am sulhonzed by the owner of this properfy to perform the <br />work for whi pplication is made and 1 comply with the State Contrac ors Law 18.27 RCW and <br />2BB200WA S <br />Dale <br />