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ELECTRICAL PER�VIIT APPLICATION <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDAR STREET, EVERET T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />G'�� y <br />PROJECT ADDRESS <br />Tenant <br />OG . , S.oN✓'C-e <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Mail Address <br />Mail Address <br />Contraclor Mail <br />State License Number <br />!LC GI /-P �i.� � �' <br />Propo� Use of Buildin <br />n <br />Descriptlon 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 />��� r��� <br />City <br />City <br />City <br />State2ip <br />Slato2'�p <br />State2ip <br />Contracl Price of Work <br />ContaclPerson (Plan Review) <br />U <br />eby ceRily Grat 1 have read and examined this application and know !he same fo be true and <br />°cf. All provisions ol/a�vs and orAinances governmg th�s fype ol work will be complefed <br />Iher spea6ed herein or no1. The grantin,q ol a permd does nof oresume fo give aulhonty fo <br />te o� cancol fhe provisions o/any other s(afe or local law re;�uiating consWclion or fhe <br />�rmanr.e ol construction. Thaf i am authonzed by the owner ol Ihis properiy to pedorni the <br />lor which application is made and 1 compty wi0i the Sfafe Contraefors Law 7827 RCW and <br />zoo �vac. <br />/; �� � i _ %ii/� <br />' 0 5- <br />; <br />FEE <br />5S" <br />Phone <br />Phone <br />� 0�5�0-ofo 7 <br />