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ELECTRI�GAL �ERMIT APPLIC/�TIOIV <br /> CITY OF EVERET'T PERM9T �ERVICES <br /> 3200 CEDAR STRL=ET. EVERE�, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — n�ww.everettwa.ory <br /> APPLICATIONS ARE ACCEPTED FFtOM 8 AM TO 4 PM � � � �U —C?X <br /> � ����Z -0?0 <br /> 11;41� Si- i'v�,-��uU_ i-I„ii l'dr.�r, Suitc: ]U= <br /> PROJECT ADDRESS <br /> I<nUey Cole �OiO Si- Everclt 61a11 VJay, Sui[o i0? E��.���t� t'li�, 9SLOti �17_S.6Gf).0400 <br /> OWnef MailAddress Ciry Stale2ip Phone <br /> �1c�rotek 10I0 S1 Lvercll ��1,ill \Jay, Swt� 10', !_ve���LY V�VA. 9870f3 <br /> Tenant Mail Address Ciry State/Zip Phone <br /> I'r:,fcrr,d Cledric 9<7_G 232!�id Slrn;f SW Ldn�,�nds 1'�.','., 980�'� ?_06.499.GG'�1 <br /> Eled�icalConiractor MailAddress Ciry SlatelZip Phone <br /> nN:L�CLl9'.SPL S 9,LOO.00 <br /> State License Number Contract Pnce of Work � <br /> Of(it.e Space - Tenant Improv�.mcnt <br /> Proposed Use of Building Contact Person (F'lan Review) <br /> uescrlption of Work to Be Don�: RelocaLed existing 7_x�I Lighting, Adr1 Lxit & Egress, Add Receptades, <br /> I'u��:er Poles, Rin� �: Slring for A/oice/Dala Cab!Ing (by olhers), ModificaLions Le existinc7 brancti �_n�wL;, eli�. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � 238.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 i/�I <br /> ;�� I here6y certily(haf 1 have r�ad and examined this application and know the same lo be true and �J"O7 z—L'�U <br /> conect. All provisions o/laws and ordmances govemmg Ihis type ol work will be cornpleted <br /> I��I whetl�.er specilied herein or noL The granting of a pemul does not resurne to give aulhonty to <br /> i� violate or r.ancel the provision l any other state or local law reguPting constnichon or(he <br /> perlonnance o/construc7ion. h 1 am authonzed by the owner a this property to peAomi fhe <br /> � work lor which application is n de nd I wmply wifh t6e State Contrar,tors Law 7827 RCW and <br /> � 296200 WAC. <br /> / <br /> i.�;�'�, .. <br /> Signatu � 1i Date <br /> � <br /> \ <br />