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ELECTRICA�. PERMIi APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES 2-i �- o� <br />3200 CEDAR STREET, EVERETT, WA 98201 �,��pZ—�J(7 <br />425-257-88'10 - FAX 425-257-8857 – www.everettwa.org <br />APPLICQTIONS ARE ACCEPTED FROM 8 <br />! ,,��.7(.� 1��;-u- �s�.�lr, 1�_'�--`i—_ <br />PROJECT ADDRESS <br />L <br />C� .1Tii�i <br />Tenant <br />ElecVipl ConUactor <br />�l� ��c S�i7=� 3�3 <br />State License Number <br />Mail AddrPsS <br />- r �= <br />Mail Addmss <br />�i �if, L <br />� <br />Idail Address <br />�b(YLIVU,121 Ci_.� <br />Proposed Use of Building <br />Desaip5on 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 3705 <br />I hore6y certify fhaf I havo road and oxam.hed lhis opplia <br />co�roct. All provisions ol laws and ordinancos govamrnq <br />wholher speci(od herein or nof. Tho granfing ol a permrt <br />violate or cancel fho provisions oI any ofhs • sfate or local <br />peAormance ol constiuction. Thaf I am awhonzed by the <br />work for which application is made and 1 comply wifh tlre , <br />296.200 WAC. <br />i <br />�.1 �! � I lr � %l� <br />City <br />City <br />i <br />FEe i 4 zoae <br />OPERATIONS & MAINTENANCE <br />�� <br />SlatelLp <br />StaloZp <br />SlatelLp <br />�� (o <br />Phone <br />S �L((� <br />�ha�, <br />C.G <br />� -t� � <br />Phone <br />. ��, �(�3.�'tn <br />ConUact Price of Work <br />: ca-i� ��%�t?�-e_ <br />ConWd Person (Ptan Review) <br />nv the samr� to 6e hue and <br />�ork will6e complafed <br />sumo to give authonty to <br />ig consWction or the <br />s property to peAorm the <br />�(ors Law 18.27 RCW and <br />, 2_„G <br />FEE <br />`�SL • �' <br />.Ea�a -a�,� <br />