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—c\\-C„ ( v\t`')ccAAA--,7,4- — <br /> /� 6-0n <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 /> 7533 to tusk. SDC Ri9 <br /> PROJECT ADDRESS <br /> ¢ate Vis~ U4se <br /> Uaitd- rtigi/V--,s-ll ivc X5-33 LeIcE{z�P/P>y-eD «1 - 44--%92,03 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> S IWAE � 'ie4t' A Nc Viz)/ i& t?-2'�/C W,/1' ��/ " (g 06) gso- c0I <br /> Electrical Contractor "'Mail Address City J State/Zip Phone <br /> ST -S 9‘40A. <br /> State License Number Contract Price of Work <br /> 57/114 7,0 / <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: Co& ... (e.P <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 'i <br /> I hereby certify that I have read and examined this application and know the same to be true and �.W I'i D(—/—"&VZ <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 /> s <br /> work for which application ' de and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> pi to Date <br />