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l � • <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 /> • <br /> 5929 Oe.x°re1 late Ev6:2evr- 992 r,3 <br /> PROJECT ADDRESS <br /> (?6J IE.7 <br /> XA.So L, t-•k Qk( t-e 5-9.29 De-)crer /v e ov ec-ert-- gAzo3 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> /Kr 106e Ley r-cr_. c>•rcr- i e were ' — 9.2034:C0,5-3-1(.. Z.7`7 <br /> Electrical Contractor I Mail Address City State/Zip Phone <br /> . — loco o <br /> State License Number Contract Price of Work <br /> A/ S <br /> Proposed Useof Bui ding . Contact Person (Plan Review) <br /> Description of Work to Be Done: \kAve vi1fSCMt P. Atex (›f ('2:s.1) <br /> `rte "v() rL Do en F- ,c 'LY ` 'erit,trc <br /> ,i"r e0XteQ vl€ ll DAV <br /> -r e, " o/K,2co'er L. Y i / Rik -l-/(�' en�'�� .11.7E) .Q / Ito <br /> ki eG 'Q-c O, / 44c tla &Y • Com/ '(D2c�c / <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 ii <br /> I hereby certify that I have read and examined this application and know the same to be true and E12_07_- ) ` 0 <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 presume 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 thisroperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /74/-S-1 Date <br />