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• • <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 /> 2 ' / 1 <br /> iiiP.Hve7/ 5'1t,GP,%c <br /> PROJECT ADDRESS o <br /> 2/2.5-2- 10 6/79 <br /> da,A&,,gc, Ate k5 /d t't/ ce d6I.R sr rnadzysv. 11€ 1,) # 9 $ 2-70 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> / / / a L- :Jew/ '-' <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: fie, Oct c e Me;f e!°2 <br /> GtI_e_A-e i'N New 73 7 44 1' --�° ked Knit, 55 <br /> CV- it i-e 7..S iv die me de-/ c xcam._ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <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 same to be true and <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 notresume to give authority to <br /> violate or 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 applic..,;.n is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 W.' " 'teliz______ c-C Id - / <br /> 00,1 <br /> i /-2.4., i /p,,, <br /> 0 <br /> Signature Date <br />