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110, <br /> • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 C--)39 4 -ID <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org ( 17 V/3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> )674 <br /> 3404 3 Wes-7—Colsio✓a e/ <br /> C -1 :7-'.S— <br /> PROJECT ADDRESS <br /> • <br /> 7t9eihef g-g) <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> AeN 6LEx, ieevc 799 Rows, hJt 9!174 3lo Asa Ow <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> /beLE/f-0 77.eR 0Z/00 °° <br /> State License Number Contract Price of Work - <br /> 4 ?af <br /> Proposed Use of Building Contact Person (Pla4n Review) <br /> Description of Work to Be Done: . 14___ J J!4 A/NEt7, _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 0 <br /> � D5. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 j <br /> I hereby certify that!have read and examined this application and know the same to be true and E1300- { 01 <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not resume to give authority to <br /> violate!or cancel the . ' s of any other state or local law regulating construction or the <br /> performan ction. at!am authorized by the owner of this property to perform the <br /> wo . whic applic lion is M.de and I comply with the State Contractors Law 18.27 RCW and <br /> 2''.200 WAG. <br /> 4 <br /> ig Date <br />