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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 />w E)L4)(, _b <br />PROJECTADDRESS E:vE,p_j=7-r WA qgz_cy. <br />AS AL7Er✓inn Fe2 GWNf/Lr <br />6"CrEP K14r_SErtymsyWNF Mi'sAiNA Beui) SEAr1-Lz WA 98t/i <br />Owner Mall Address Coy State2lp ` Phone <br />I-i pc�r 1� (�\4�.0. r`82t"t'' <br />Elnt- l � C:ra�vng LL-C �r,,.rC r- 4&Op tom <br />Tenant Mall Address CRY State/Zip Phone <br />', <br />Electrical Contractor Mall Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Br. Done: EM E t2-Cl E N c / F r o—E rN 5 PPG (ion/ — / 6 v N I -r BG DCa - <br />3 6 ut4 i t AtEr£rL PACKS I I O£5r201£A ID-3?) wou-0 t-rK.E <br />iU KAlOW IF F125T- 2 c4N QE Q.9-Fn4EQ4t2fD I F 3an is DtsroUt+EcsfO <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 rertily that I have read and examined this application and know It, o some to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whetheryrecifted herein or not The granting of a permit does not presume to give authority to <br />violate a* cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />7(� <br />WAC. <br />V _ <br />Ignature ate <br />