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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 />PROJECT ADDRESS <br />35S <br />1�1tt�k L-at il:'MAAJ 2Y30 XI'aPL JE ,tt/ F1263 <br />_ <br />Owner Mall Address City Stale0p <br />Phone <br />Tenant Mall Address City Stale/Zip <br />V.15 Phone <br />4EI'L-AA)AF 1. SIS 3N0/ F11 411 Elie/ <br />Electrical Contractor Mall Address City State/Zip <br />Phone <br />OLAAISS/ Y 2 L l0 <br />- <br />Slate License Number Contract Price of Work <br />SF2 <br />_ <br />Proposed Use of Building Contact Person (Plan Rev';ew) <br />Description of Work to Be Done: OV I S IAW rfL/i DM 0 kV . 4 ZLPL Li %.ft <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 1 have read and examined this application and know the saris to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be ,ompleted <br />whether specified heroin or not. The grantirig of o pemilt does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />peilormance of construction. That 1 am authorized by the owner of this roperty to perform the <br />work for which application is made and I comply with the State Contrectors Lew 18.27 RCW and <br />296.200 WAC. <br />/j <br />7---Signature ate <br />EO(plt— 12- <br />I <br />J <br />