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ELECTRlCAL PERIIAIT nr�LICATION <br />CITY OF EVERETT �ERMIT �ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — w�nvo.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�K�2 ,5._r- I'7ior�� I�rr 1,��, s� �� .1�� ��� <br />PROJECT ADDRE.`�iS <br />Owner <br />Tenant <br />-1��� S.r-. _Fii��rll d� <br />Ma!I Address <br />Mail Address <br />ContraClor Mail Atltlress <br />_Ftir�('-�csc�j YXF <br />Slate License Number <br />'�� /] r�, `5�12 <br />Propos/ d Use of�i.ilding T <br />Description cf Vdor� to Be Done: <br />� NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />I BE IN RACEWAYS, MC OR AC CABLE. <br />'e�� � � <br />C�ry <br />Ciry <br />' �,,, r <br />Ciry � <br />StalelZip Phone <br />State/Zip Phone <br />yd� 74,�� � <br />�,[ << �� Y�, <br />SlateZp Phone <br />� �/-1 � <br />� l_l <br />Contract Price of Work <br />Contact Persun (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi/y thaf I have read and examined fhis applicafion and know lhe same lo be true and <br />ce!�cl. All provisions o/ laws and ordinances govern:ng this type ol work will be completed <br />whefher specified herein or noL The granting oI a pertnR does nol presume to give authonty to <br />violate or cancel fhe p%ovisions ol any other state or local law /egulating consVucfion or the <br />perlomiance o/ construchoa That I am authonzed by the owner of fhis property to perform fhe <br />Iwork lor which appl'cafion is made and I compty with !he State Conf2ctors Law 78.27 RCW and <br />�oe �nn war. <br />FEE <br />� ��� � _ �=-,��- <br />