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ELEC'TRYCAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettv•a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/n3a ��) Mac,'hE v �Pu/ (�r;�13C-D� C <br />PROJECT ADDRESS <br />6 - �7- a <br />� ��o��ro6 <br />�vo�nN 1 � � ��.� �n �a� �� as �����.� w� 9s�.� <br />Owner Mail Address City State/7Jp Phone <br />Tenant <br />Mail Address <br />Clty <br />State/Zip <br />Phone <br />0 eav ei- ��e c. -c� � � S-t-�'r•��.✓o o�) i,�/i4 �1.4 �4't Y�s • 359-416 <br />ElectricalConVactor MallAddress Clty SWteZp Phone <br />D�AU�� �-07� � � <br />Slate License Number <br />�� <br />Proposed se of Building <br />♦ <br />Descriptfon of Work to Be Done: �_ <br />NOTE; WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hemby certi/y that 1 have read <br />carect. All provfslons of laws a <br />whefher specified herein or not. <br />violafe or cancel fhe provisions <br />perfortnance of construction. T <br />work for which applicatlon is ma <br />296.200 WAC. _ i <br />�- C� vi lPi�. <br />� ��-��,'' �r•o• �.�- <br />contract Price ot VGoNc <br />Cantact Person (Plan Review) <br />t' <br />this application end know the same to be true and <br />goveming th(s type o/ work will be complefed <br />�/a permit does nof presume fo give authority to <br />rte or local law regulefing construction or the <br />ized 6y the owner ol thls property to per/orm the <br />v wifh fhe Stafe Contrac(ors Law 18.27 RCW and <br />V <br />FEE <br />�I 1 U1� - I ,�v <br />