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, <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 q <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org 7— g—� / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C� / 67'�• S <br /> i ; > > <br /> , � � ��, 1 �� , � ,� ., � � <br /> PROJECTPDDRESS <br /> �lP�� L �, l� 7U � �3c) �1:' � <br /> d <br /> Owner Mail Address Gry StateZp Phone <br /> � . ' i <br /> 7� �,/r �l i ,i ' ��; i./-. � . , ��� �,. < < /' ��� � ����/ �C�� �'Y9-ly "E; <br /> Tenant Mail nddress Cdy Slale2ip Phone <br /> IES Commercial 1G11 E Marine View Dr. Everett WA 98201 425-252-2107 <br /> Elecirical Contre.tor Mail Address City StatMZip Phone <br /> IESCOCI929JS 'f � `��� <br /> State License Number Coniract Price of Work <br /> .'�`r <br /> Proposed Use of BuBding Contad Person (Plan Review) <br /> , ' <br /> Descript�on of Work to Be Done. ;u- �• � � ;�` � ` � �`'" .�^ �,��� �t,� ��•� �!:�� 1 <br /> , r l �� . ��, f i .�,-�� �' � Fi�'�. � <br /> NOTE WIRING IN NON-DWELLINGS IS REU��IRED TO FEE. <br /> BE IN RACEWAYS, MC OR AC CABLt. !I j C% ��7 <br /> �� V � <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS J705 <br /> I hereby cor6ly fhnt I havo road and eaaminod this appiica6on and know fhe samo to bo tn�o end <br /> corrocl All nrovisions ollaws and ordinancos governm�fbis fypv of work�vrll bo completed <br /> whelhr,r spvci6oAhcrom or nof Tho granhng o!a ponnd doos nof prosume to givo eiRhonly fo <br /> viola(o or ccncel Ihn provisinns o/any o(hei stofo or local law regulafmg construct�on or fho <br /> porlorrnanco o/cunstruchon lhat I arn auflronzod by!hc o�vnor ol fhis property(o pAAorm tho <br /> work lor which opphcahon is made and 1 comply�vdh tho Stafo Confractors L�w 78 27 FCW and <br /> 296 200 WAC. <br /> `L�� l ' �—_ .., J./' ..'•ij __%. . / `I %. <br /> / <br /> / '' / <br /> Signelure� Dete � <br /> �o�- a-5 <br />