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ELEC fRIGAL P�RMIT APPLI�CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREl'T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATI04S ARE ACCEPTED FROM 8 AM TO 4 PM - DEI31T & CREDIT CARDS ARE NOT ACCEPl'ED <br />��-� U Z S� [�' V� i2 � i i �'l �� LL� <br />PROJECT ADDRESS <br />Owner <br />UL�� N�e <br />Tenant <br />Mail Address <br />Mail Address <br />�ity <br />Cily <br />State2ip <br />iWtel2ip <br />Phone <br />Phone <br />c f-!�_S�c.N i� UL�—ro2� �ti�. `I"19Z ��t+.ci���s �.-��� Epw.�t�ia5 lN(r �bZv <br />Eleclrical C�nlraclor Mail Address City Stale/Zip Phone <br />Z`-�" �( �i 6 3�� / I <br />� LI F ��-�1 �SC�C <br />Stale License h�.imher <br />Proposed Use of Building <br />Description of Work to Be Done: <br />�li�2t <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Conlract Price o( Work <br />qTy pF EVERETT LOCAL SALES TAX CODF IS 3105 <br />I hereby certily lhat I have road and examined fhis applicafion and kno�t� fhe same to be true and <br />correct All provisions ollaws and ordinances governmg fhis type of work will be comp/eted <br />whether specified herein or noL The ,ranfing o/a pernuf does not presume to give authonty fo <br />violate or cancel the provisions ol any other s(ate or local law regulating construction or the <br />perfonnance oI construction. That I am autho�ized Gy Ihe owner o( this property to peAonn the <br />work /or �vhich aeolicafion is made and 1 conwlv with fhe State Contiactors Law 18.27 RCW and <br />-� l.��l-1 � Z I Qs� <br />(Plan Review) <br />� <br />FEE i <br />� <br />,�� 7/r/ <br />