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ELECTRICA� PERMIT �PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881`.1 - FAX 425-257-8857 —www.everetlwa.org <br />APPLICATIOMS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�(� j�! C-��l�lM1 �� fAl�4�Y <br />PROJECT ADDRESS <br />0 <br />O�vner <br />Mail Address <br />City <br />StatelZip <br />Phone <br />/�1-G�TNTL" �nr�d/?- ������.�r����c�rr� Gu� �8z�'i� <br />Tenanl Mail Address City StatelZip �Z _5_ �� Z�— <br />Fi,��r�c�� �-�cr,-��L /yzho-�'r.��r�- .�dEi�r-- ��A ���z� ���c>3 <br />Elechical Conlrado� C.1ail Address <br />FI��I�f ;�7/�'C <br />State License <br />li.�FC� <br />Proposed Use of Building <br />Ciry <br />a ,yE�✓ i�r��yNG` <br />Description of Work lo Be Done: <br />NOTE: VVIRING IN NON-DWELL.NGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Slate/Zip <br />�/7 `% <br />/�"`� <br />Conlracl Price of Work <br />( /���/l�lN J <br />Conlacl Person (Plan Revie�v) <br />�/�v�T".� -- <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily Ihat 1 have read and examined this applicafion and kno�v the same to be frue and <br />correcl. All provisions o( laws and ordinances r�ovemmg this I}�pe o/ �vork �vill be, completed <br />whelher speci(ed herein or noL The granting o(a pemuf does not presume fo g�ve authonty fo <br />violate or cancel Ihe provisions o(any other state orlocalla�v requlating construclion or the <br />pedormance o( construction. That 1 am authorized by the owner o( fh�s propeRy to perform the <br />work lor wbich application is made and 1 cnmply wifh the Stafe Contraclors Law 18.27 RC W and <br />296.200 WAC. i <br />/1���'{ G� % <br />FEE <br />F����-��7 <br />Phone <br />