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ELECT'RICAL �'ERMIT APPLIC�►TI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CGDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wv�nv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �FCL ���c',�r.`,f' i✓�!( ia �� �" �� <br />PROJECT ADDRESS <br />� rP�'Ci1" ��1 fi � �� � �/���!� (S�'{,[ <br />Own�n'/� //n � Mail,Addres <br />� '.� ' IF / �� T' �� �G,%i S E-C�-� <br />1 <br />rnau nddress <br />Mail Address <br />Sj��-�-»s c�> ; � 9 <br />Stale License Number <br />Proposed Use of Building <br />2 �C <br />City <br />lilc: <br />State/Zip <br />(,—�6-0� <br />� ogo6- ►� y <br />, _. �, <br />vC��(- E � c:�, <br />Phone <br />%cG �-�� <br />� <br />Phcne <br />� <br />Phonc <br />\ <br />c�<iUS-e� <br />Contract Price o( Wuk <br />Contacl Person (Plan Review) <br />DescriptionofWorkloBeDone: �ji�'�(ef� C��%��l��c c� �G�.;�N.r�� /,p�,S <br />NOTE: WIRING IN NON-DWELLI�IGS IS REQUIRED TO <br />6E IN RACEWAYS, h1C OR P.0 CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily tfrat I ha�e reaA ancf examined this applic3fion and knotr fhe same to be true and <br />corrsct. All provisions of laws and or'dinances govemino this type o/ work r:ill be comp/eted <br />H�hether speci6ed herein or noL The granting o/ a perrn"tl dous nof resuma to give authonty fo <br />violafe er cancel ihe provisions o/ sny uther sfafe or local law reguPting consiruchon or the <br />perfomiance of constniction. Thaf 1�m authonzed b}� fhe o�rner ol (his property to perfonn the <br />work )or �vhich application is made and 1 cornply u�ith the Sfate Centr��cfors Lau� 18.27 RCIb' and <br />296.200 WAC. <br />��--�` �� , <br />-- � ��-� . <br />FEE <br />F_ v�U�-� �f � <br />