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ELECTRICAL PERlVII i APPLlGA.TIqN <br />CITY OF EVERETT FERMIT SER.ViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org �0 V a�_�z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G 12�� `I,Cj Z <br />�ln f�1 �Uc��('c<-'^ ��o--i- <br />PROJECT ADDRESS <br />ii-w�s5 ( V�����`� <br />Owner <br />�. <br />Tenant <br />,� � c��s��rC.•, wtcr r <br />Address City <br />l— <br />Mail Address <br />City <br />StatelZip <br />. � ' � <br />Slale2ip <br />Phone <br />Phone <br />2`_' Z� f� ' IJE S1C C, Id� t�-IIcv�L ��R- � c���� I- <br />- Ji' ,;;Aw�e._ �-- �ZH csd+� � <br />Fleclrical Conlractor Mail Address City StatelZip `[Z�- �� � <br />�6 �„`-T�_ <br />t�� I�PL l L�9 �� k �•-� <br />Sta�e License Number <br />� a �— <br />Proposed Use of ilding <br />27, �U�� <br />Square Footage (If residential new construction, remodel or additien) <br />Description ai Work to Be Done: <br />lJ <br />I�U <br />J <br />��-'� voc� <br />Conlract Price of Worf <br />� -cJL �c f � �-`�� <br />Contact Person (Plan RevieeQ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE lU RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify thaf I have read and examined Ihis ap�licafion and know the same to be fnie and <br />coriecL All provisions o//aws and orcimances govemmglhis type o(work will be completed <br />v�hetherspecified herein ornot The granfing ol a pemid does nof presume lo give aufhonty to <br />violate or cance! fhe provisions ol any ofhersfafe orlocal la�v regula6ng construcLon or fhe <br />pe�lcmiance o(consln�cbon. That 1 am authonzed by fhe owner ol fhis� roperty to per(om� the <br />u�nrk �nr which annlica(ion is made and 1 comply �vi(h the Sfate ConUactors La�v 18.27 RCW and <br />r <br />FEE <br />�/� � <br />l./ <br />�IZlO - l5Z <br />