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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 <br />`o ?)o `6 t12 Si- qg0 z4 5 <br />PROJECT ADDRESS <br />locate kcK ISk l 0 0 Q � , vrA q82 - S <br />Owner Mail Address City B lit ^ State/Zip Phone <br />9 <br />Pav�.�Zti 0�>1 �3��0�) S�S�A� �Uere%i ,��/q �IY�2o3 <br />Tenant Mail Address City Slate/Zi Phone <br />r zato) 7ZO. 3266 <br />VV'+94AIN4 <br />Electrical Contrattdr Mail Address City State/Zip Phone <br />�AI2a$CS A 17-9(. 0'w <br />State License Number Contract Price of Work <br />W NJLC, i- 0 kY//// l LL q I a <br />Proposed Use of Building --rr-- 1 Contact Perso (Plan Review) <br />Description of Work to Be Donne daaat,�y1 <br />�7 YS "1 l '�ODF CLON�".1C�) <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 certify that I have reed and examined this application and know the same to be true and <br />corroct. All pmwsions of laws and ordmences governing this type of work will be completed <br />whether sp cihed herein or not The granting of a permit does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />%miance of construction That 1 am authorized by the owner of this property topeAorm the <br />work for which application is made and I comply with the State Contractors Law 18 27 RCW end <br />296200 WAC. <br />Signalw, Dale <br />