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ELEC�'RICAL PERMIT �4PPLICAT�ON <br />CITY OF EVER�TT PERIVIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257�8810 , FAX 425-257-8857 – www,everettwa.org <br />APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM <br />�.v� �+�Si "a �; .� %�1 f �� WA � �.���' <br />F'aOJECT ADDR�3S — <br />ae;� C�'� <br />Owner <br />��e� 6LCl, <br />Tenant <br />G-�.��,��. S� <br />Electrical Contfactor <br />P�o 3o�c� rz <br />Mail Address <br />y .S - 08 � w�r s <br />Mail Acidress <br />I � `�1 I' � q..�.tz S <br />M�il Address <br />�-C1.A R �SS'�3�� K.S <br />5tate License Number ' <br />��A •��l <br />City <br />-1�:.���,,,�...� Plu.r.� <br />Cky <br />_ S� ,_�, <br />City <br />Proposed Use of Buildin� <br />Descrfptlon of Work to Be Done: l� vl � C,�;� ��nf2� <br />� �� v � � <br />NOTE: WIRING IN NON-DWEl.LINGS IS REQUIR�D Tp <br />BE IN RACEWAYS, MC OR AC CABLE , <br />t�--��� � � � � �1 <br />State/Zip Phone <br />�.��� � <br />Sc.,w.o a. - .,,o . � �'t <br />State/Zip Phone <br />q g (3 �� �7 ��� i� �8 <br />State/zip Phone <br />�S�o.00 <br />Contract Price of Work <br />Contact person (plan Review) <br />r� C� � C� t-��e �"�.r <br />CITY OF �VERETT LOCAL SALES TAX CODE IS 3105 <br />l hereby certlfy thaf I have read and examined fl�ls application and k��ow the same to be true ancJ <br />correct. AU provisions of laws and ordlnanCes governing this type of work w!!I ba completed <br />whethar s,veclfled her�in or not. Tha granting af � perrnit does not presume to glva authorlfy to <br />vlolate or cancel the provisrons of eny other stete or focal law regulating constructlon or fhe <br />wo�k for whlch applicr tlon s a�der and / cof nply wrth the Stefe Contracto�pLawy 18 27 RCW snd <br />2g6.200 WAC. <br />te <br />FE� <br />i II�! -111 <br />�d lJdZe:Zti ZZBZ 9ti '^�N 066b—SZ9-90z: 'ON Xd� J,lI�IfI��S NdIQ�Jtif1J: W0�1� <br />