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i <br />ELECTRICAL PERIVIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everethva.org �'j ��/---// <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �' II O S•-G� <br />� <br />�� �� C V Q� a' i E' �' �L. �l.-� � � <br />PROJECTADDRESS � <br />1�i\ � � r c� <br />O�vner <br />=� fY�-Q_� <br />Tenant <br />�;����a��� �� <br />A7ail Address <br />Mail Address <br />SNOHOM1�ISH ELECTRIC, RJC. �,�,, f <br />ElecUical ConUactor Mail Address <br />.Siv� H � f �. li ��� <br />Slate License Number <br />� O\ l 1 CC. Sp� c 4 <br />Proposed Use of Building � <br />Descriptlon o( Work lo Be �ooe: <br />���,OCc� ti� n <br />��P( � l��ti�� � <br />c.ty <br />i��. �v�<�... `> <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, �4C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hcreby certify that 1 have read and examined (his applia <br />:orrecL All provisions oflaws and ordinances goveming <br />whether specrfied herein ornoL 7he granting of a permit <br />violate or cance! the provisions o( any other state or local <br />pedormancz o/ construction. That 1 am aufhonzed by fhe <br />worfr for �vhich applicafion is made and 1 compty with the <br />296.200 INAC. <br />City <br />City <br />-'�-� r�U2 � ��� i�-4k- � `� <br />,_ SWtelLip <br />Stale2p <br />t <br />�cl�, , �:A �1� 2�t i �2�-` <br />State2ip <br />3���13.Or <br />Contract Price of Work <br />Contact Person (Plan Review) <br />s c, �-� �� <br />and know O�e same to <br />vpe of wor'�c will be con <br />' cl.-�. c��- '\ 1,�,• -l��a� S I I I I� I <br />— y,�A oa�_ <br />��� <br />�� <br />Phone <br />Phane <br />,•�7�� <br />Phone <br />FEE <br />and � l �� — � 5y <br />to <br />and <br />