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From: 06/IW013 08:55 #502 P.001 /001 <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 /> � Gu(cs� 5►t�10 �QaaC� 40-10 54N42,�{S <br /> PROJECT ADDRESS <br /> i d <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> _7 trio EL-drlC 9005 7�} l �t23 ,�Zoc. G33�2gi/ <br /> Electrical Contractor Mail Address city State/Zip Phone <br /> `T fanEZ9G3of3 _4baSj"0=' <br /> State License Number Contract price of Work <br /> 50Z, Hus&ns <br /> Proposed Use of Building Contact Pers (Plan <br /> Description of Work to Be Done: LOU) Vb 44AuCk <br /> �s1�11 r4G�ccsS n�ro1s c�tr��/ 1 Ga'>�"e <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 3108 <br /> l hereby certify that I have read and examined this application and know the same to be true and <br /> correct All provlslons of laws and ordinances govemin this type of work will be completed <br /> whether specified herein or not. The granting of a perm�t does notpresume to give authority to �0 /f <br /> violate or cancel the Provisions of any other state or local low regulating construct/on or the c( U '" 1 l 3 <br /> performance of construction. That l am authorized by the owner of thisroperty to perform the <br /> work for which application Is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296.200 Wf C. <br /> 0 <br /> Sign ro Date <br />