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ELECTRIC.4�. PERMIT APPL{CATION <br />CITY OF EVERi=TT PERMIT SERVIC�S <br />3200CEDAR:iTREET,EVERETT,WA9820t �( �-.3�"dG <br />425-257-8810 - FAX 425-257-8857 -www.evereriwa.org <br />�6 61/ -�57 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�J"�J C,G�Ya \ itvP C1 P ��T'\ . <br />PROJECTADDRESS <br />Owner <br />Tenant <br />�i�( �,:SC':'l'1 <br />EleIXncal Contrador <br />�Lf_� X:P��i:D�-� �-'� <br />State License Number <br />Mail Address <br />Mail AdAress <br />Pddresa <br />K C'N f� p �� _ <br />Proposed Use oi Building <br />'-1'�� - i5 � -`.�L'�, <br />StalelZip Phone <br />Slate/Zlp Phone <br />si�erzro �� <br />.�� � <br />Contrad Price ot Work <br />Contad Person (Plan Review) <br />1 , <br />Descnption of Work to Be Done: l'; • � \ (? � �, c ( ` I t .U�, �`-l� r` f ( � � �� �i �r � ' , <br />� a.,v�. ���i_ �n • .�-: .., -t- <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN R,4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br />� <br />1 have road and examined fhis app/icafion and kno�v .'ho same fo bo frue end <br />ns o/ laws and ordinances govemmg Ihis ty(w ol woCc will bc completed <br />erein ornoL Tho granting ol a pomut does nof !ves� me to giw authoriy fo <br />r provisions o7any other stefe or local law regulahn� consfrudion or fhe <br />sfniction. Thaf 1 am aufhonzed 6y fho owner oI thi^, proporty fo pedorm fho <br />irarinn is maAa and I comol v with the Sfate l',ontracbrs Ltiw 7@ 27 RCW and <br />�� . � �' ���,1 �° _ �.�_�_l � ��-��`: ��� � � � � '�� <br />FEE <br />`"L� W `l D 1 � a `�� <br />,���-l� � <br />