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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 />�517 C'1;r <br />PROJECT ADDRESS (,125) <br />Donna C'gthbuj� 2511 glst Pl SE Ev&rett,WA 820; 259.5r j <br />Owner Mall Address City State/'Ip Phone <br />N / � "P25 562-1111 <br />Tenant Mall Address City Slalealp Phone <br />Lgn4br �Ieoc'rl-1c CCrwei M51NE 16+h St (3ellejvue, <br />Electrical Contractor Mail Address City State/Zip Phone <br />L A14DE E 51116 c 150o.00 <br />Stale License Number I Contract Price of Work <br />Ir le, FAMlI �&SI� efifiiril hi fin (it" f 1Ylgn <br />Propose Use of Building')Contact Pe on (Plan Review) <br />Description of Work to Be Done: 1 n �I ej I I 1~ 1 5 e n1 r k Lq t& r <br />I-20AMC clr(ult fo► OlAt10 <br />&-7- Up ) <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. 7 00 <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 some to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be conmieted <br />whether specified herein or not. The granting of a permit does not presume to give alithonly to <br />violate or cancel the previsions of any other state or local law regu/afing construction or the <br />perlormanco of construction. That 1 am authorized by the owner of fhis reperty to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />286.200 WAC. <br />7/07 <br />Slgnalure Mile <br />17 <br />