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ELECTRICAL PERIVIIT 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 />fL �. G>t%e�� (� <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />Slate/Zip <br />q-o�-�4- <br />C�u°`fi��y7 <br />rl <br />Phone <br />�1�%�f Iv.l.c 1�j,11A.i� �,,1rn�Q �-P �i�Z � FVP�'-C�rl- l�-fu-� �2�- �� <br />Tenant MailAddress City r jZ�„St�l . oy_ Phone <br />I / <br />Electrica� <br />Mail Adtlress <br />�✓� �.�r`� ��-3 <br />Stale Licens umber <br />1.11� �`t i 1 i� I <br />• ... -. • . . . <br />Description of Work to Be Done <br />City <br />:F%-�1— �-LJ✓ � <br />State2ip <br />�/� <br />Con�ract Price of ork <br />�-1��� � <br />Contact Person (Plan Review) <br />Phane <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC O!2 AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />certily that 1 have read and examined this application and know the same to be true and <br />All provisions ullaws and ordinances governing this type o/ work will be complefed <br />speci�ed herein or nof. The granfing o! a permd does nof presume to give authonfy fo <br />r cancel fhe pro�isions of any olher sfate or local law iegulafing consfruclion or fhe <br />�nce of construc6on. Thaf I am aulhorized by the owner of this property (o perlorm the <br />which applicalion is made and 1 comply wifh the Sfate Confrecfo�s law 18.27 RCW and <br />FEE <br />5� oc� <br />�i��d�-o�-7 <br />