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6i-I"<?-0? <br />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 />PROJECT ADDRESS <br />�u nc1 Vc Ti�rc 1 3 za toy" Aa<. tic 't too (3c Heyvt'. will I <br />Owner Mail Address City SlalelZip Phone <br />s,, • I �� url rr �rICV E- ,y FC f'' S1. Sw Loct< 4, yvfa 162 C3 <br />Tenant Mall Address City SlatelZip Phone <br />a "("' iL S 3 S. Jac 4 � Sa • So,.4 ',Iti l`i <br />Edricalelknlr or Men Address CRY State/Zip Phone <br />wr1SrI IAI 7_ia'L G3 <br />State License Number <br />AA-c cA1&,,enj,. ScN.CcS <br />Proposed Use of Building <br />z, zvo • Oc, <br />Contract Price of Work <br />Ar, I <br />Conton (Plan Review) <br />Description of Work to He Done <br />0"If (Gr[I ICS,i <br />I I'l ;'ire l l 2— It/ <br />ni'r-Ni01.1ntc11�.5 <br />S ., l rVe.i Al r e nKn r <br />1 dVAC_ dic+ srtitcIce <br />Z .::I m be" - <br />dt4rc4r,.- <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 reed and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or nof. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating conshuction or the <br />performance of consfruction That I am authorized by the owner of this property to perform the <br />work <br />for WAC epphGation is made and I comply with the State Contractors Law 18 27 RCW and <br />9- 13- <br />f 0 _709 -11 `1` <br />