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• <br />E�ECTRICAL P�RMIT APPL�CAY�ON <br />CITY O►F EV�RETT P�RMlT SERV�CES <br />3200 CEDAR STRE�T, EVER�17', Wq gg24� <br />425-257�88'f 0- FAX 425-257-8857 — v�nn�w_everettwa.org <br />AP�LICAi�ONS ARE ACCEpTEp FRp� g AM TO 4 PM <br />.��13 ��-1-` � � � <br />PaOJECT ADDI��SS <br />Owner <br />M�i) Address <br />c�y <br />Tenant M�il Aadress <br />City <br />--�'t r �.�,�, <br />Electricai Contractor �neii ndd�ess <br />Ctry <br />State Licanse Number �`� ���vVL� <br />PrOposgd Use of Buflding � <br />Descriptfon of Work to Se Don@; <br />fVOTE: WfRING !N NON�DW��LINGS IS REQUIRED T� <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY O� E�/Fa�TT I.00AL SAL�S fAX COD� 1S 3105 <br />sfateiz�P <br />StalelZlp <br />scaYelZlp � �i�„ <br />�ho�,� <br />Phone <br />��� <br />� g � Phone <br />� �� V� �C� <br />Contr�ct Pri� of Work � <br />�JY3���"�— <br />Contact Person (plan F{ev;ew� ��� <br />! hereby ce�ffy �ha� � hav8 r�ad arfU eXainlned fhis ,�pp/rcation and know fhe same �o be true a�d <br />wh�herspecifr d he� nfQa npr �J�-Fr°e gf����g of�a perm,t does not resume to lve auth <br />��olate or ca�ce! fhe provlsions of �ny o�her star� or /oca law r�gv�� g cons�ctio mor the to <br />nB��nance of conSfrLction, That ! am auihonzed by the ownar of th/s proAQrt1� ta perform the <br />w° forwhrch epplfcafion is ma�fe and / comply wi1f� fhe StarB Cor�tracfors Law �8,27 RCW �nd <br />0 WAC. <br />fortatiirP l � 1 � � I � �4 <br />FEE <br />���D� <br />���0�-t��l <br />0+ <br />