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�LECTRlCAL ��!?�JIIT �4PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />�7��� <br />'74.,�I�irer e �J�.. S� � G o��7 %=u-e-1e�,�.�bav3 <br />�PROJECT ADDRE S <br />N/� - <br />OWne� P.1ail AUdress <br />�C'�� '�-✓�� ..1`-'" �� S �(i.Me <br />Tenant Maii Addrzss <br />Cily, <br />> <<b�:.�. <br />City <br />Slate2ip <br />State/Zip <br />5-17-D7 <br />Ca �0 5-J16 <br />Phane <br />Phone <br />,��� e�1-�— Cs�.�ai iyrl '�R� sT �1.�. �b�rrv c,�r�. 9b'cJc.�/ as3-s�� <br />Electtical Contractor 1�1aa nuarass ciry Siate�lip Phone <br />f�l�(3�F�c. 00-3 c a <br />State License Number <br />��.Q w«��l � ����. s <br />Proposed Use of Building <br />� ��v <br />Contracl Pnce of Work <br />AI���I �'��C����.�o>�.n <br />Contact Person (Plan Revi=w) <br />Description of Work lo Be Dane� 1\f � O CGt� e Q�'12 'E'�'le.r NiCi )'�c�.T <br />NOl E: WIRING IN IvON-DWELLINGS 1� RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />cerbly Ihat I have read <br />All provisions ollaws e <br />specilied he�ein ornol. <br />� cancel lhe provisions <br />mce ofconstrucfian. T <br />�;hich apr�licafion is nr <br />Ihis applicafion and kno�vlhe same to be hue and <br />govern�ng this type of �vork �vill be wmpleted <br />�l a permd does not resume to give authority to <br />,te or local law �e�uPfing conshuc6on or fhe <br />ized by the o�vnerolthis p�opeAy fo perlorm fhe <br />N r:ith Ihe Stale Confraclo�s Lar✓ 18.27 RCW and <br />FEE <br />_ � /� � <br />�� S <br />33 <br />