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�! ECTRICAL P�RIIIIIT �►PPLICATIQ�N <br />CITY OF EVER�TT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8910 - FAX 425-257-8857 - www.everettwa.org <br />APPLlCATIONS ARE ACCEPTED FROM 8 AM'f0 4 PM <br />���1��_ �h_ �=✓trPf+ I�lb�( Wtiy 1=l�fIP+. �iA, �;;Gi`e <br />PROJECTADDRESS <br />S�eG! FuS� ��- �/�`/3 I!��in�<„ Ave i1/ewe�rt �3c�tcti C��1 `(?�l' �y�M�bJ1�T1;; <br />Owne� Mail Address Ciry State/7Jp Phone <br />I�a;Su � � r ,�Hoi � �lS�9� '7 i�J��i� j <br />t � VI " 1 165 it W>v«� D� �• ri", S� wH (��'1 3' ;5 <br />, . <br />Tenanl Mail Address Cily Statellip Phone <br />��� �� rVc:r �n( /�o i3,��x z s ��e�r,o,�� U''t �I�^%) �`,;yj.;SG ., <br />EleclricalContrador MeilAddress City Stete2ip Phone <br />`�► E�.� f �,- �3 z�1k <br />State License Number <br />��4-c.. ` <br />Proposed Use of Builtling <br />Description of Work lo Be Done: <br />'- ��x�A �c0� <br />�20�20�U �c � <br />k� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3706 <br />� �S��D <br />ContraIX Price o( Work <br />�� ���V <br />Contact Person (Plan Review) <br />L2� <br />�(� I�U+% �� �. <br />y ceRi/y fhat 1 have ;ead and examined this applicafion ano know the same to be true and <br />. All provisrons ollaws and oMinances goveming this type o/ work will be complefed <br />r speafied herein o� nof. The g�anting of a pertnrt does notpresume to grve auflronty fo <br />or cancel the provisions o/ any ofher state or local law reguleting construction or the <br />vance o/construchon. Tha�,La(n aufhonzed by the owner oi fhis property to peAorm the <br />�r which aonlication is maCe anC I compry with fhe Sfate Conhacrors Law 18.D RCW and <br />���-7�07 <br />FEE <br />, ,� <br />�:�;,. �%� � <br />