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ELECTRICAt NtRMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-25%-8810 - FAX 425-257-8857—vwvw.evereriwa.org �I� ., ;_1 J <br /> � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ���^� _ 1;;`,) <br /> ���Q� �vG�'a�� W�u <br /> PROJECT ADDZESS <br /> ��� ��E� <br /> Ownef Mail Address City SlatelLip Phone <br /> ��t�'S C�c-QA �'`io7- Fvc�aErN w��t E►�n.c-� w-� `��zo�; <br /> Tenant Mail Addiess Ciry SlatelLp Phone <br /> �� ��TR-IC�IC {�D. $�X �344 �IJol��rv�is'µ W,f} tf'2`fl 425'•3/S•212.1'� <br /> I Eledrical ContraCtor Mail Address City State2p Phone <br /> I�IFI�LO �L �C61P) (� ���o(� � �� _ <br /> State License Number Conlract Price of Work <br /> (LC�-�1�1� �(Z�P,�t� �tl��' <br /> Proposed Use of B ilding Contact Person (Plan Review) <br /> 1 D^ 1 ^) <br /> Descriplion of Work to Be Done: ��9 � (�7 f-� � ���T ' " ` � ' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have read and examined this application and know fhe same fo be frue and <br /> correct. All pravisions of lews and ordinances govem;n�this type oI work wdl be completed <br /> whether specilied herein or noL The granting of a permd does not resume ro give authonty to <br /> violate or can el the provisi of any other state or/ocallaw reguPhng construclion or the <br /> performance constructio . at 1 am authorized 6y the owner o(this property to perform fhe <br /> wo�k(or whic application m de and I comply wifh fhe S(ate Confrac(ors Law 18.27 RCW and <br /> 296.200 WA <br /> � �---- � /z�;f,o �aog-�3 �' <br /> Signature Date <br />