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ELECTRICA� PERMlT AF'PLIGATICIN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-0810 � FAX 425-257-8857 — wn�w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBiT & CREDIT CARDS ARE NOT ACCEPTED <br />� ,�r <br />I`ii� �5.� I",��r�°l� I�I�I� ���I r�GF��I �r)�-� s'- L. <br />PROJECT ADDRFSS <br />Owner <br />Tenanl <br />MailAd�ress <br />Mail Address <br />Atldress <br />�vER �s o3yKF <br />State Licen,e Number <br />-�C�hLf.rrr / .5 ��C//I <br />Proposed se o( Buii ng <br />Description of Work to Be Done: <br />� Ciry <br />ciry <br />� io3 1 <br />c�ry <br />I <br />�� ���n �� <br />P'01'E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />C I'fY OF F?/ERETT LOCAL SALES TAX CODE IS 3105 <br />State2ip <br />State/Zip <br />StatelZip <br />� <br />Phone <br />Phane <br />� • 7�l� 5 <br />Phane <br />�'S D .Ov <br />Contract Price of Work <br />Contact Person (Plan Review) <br />I ! horeby certily Ihat 1 have read and examined thi.� applicafion and know fhe same to be true and <br />! � rrrecf. Al! provisions of laws and ordinances go� �rmng this type o/ work will be completed <br />! �.�. hefher speGfied herein or noL The g2nting ol a permd dc2s notF resume to give authonty to <br />.,nla(e or cancel the provisions olany other state or local law regulafing consWction or fhe <br />;�� ��formance o/ construction. That 1 am aufhonzed Gy the owner of fhis property to peAorm fhe <br />:,�ork Ior which applicafion is made and I compty wi(h the State Con(ractors Law 78.27 RCW and <br />�� <br />C <br />FEE <br />