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ELEGI'F�dCAL PEF�iVIIT APPLIC/�TI�PI <br />CITY OF EVERETT PERMIT SERViCES <br />320J CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v�nvw.everettwa.org <br />APPLICATI�NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�-f l SC E ��r� �7 l�1 r�w 1���,�, <br />, <br />PROJGCT ADDRESS <br />R-� � i�rU,<.'-�)� Phone <br />Owner Mail Address Ciry State2ip <br />Tenant <br />Electrical Conlrector <br />Mail Address <br />Mail Address <br />�F /� r- �1 i 9Sl �J`� - <br />State License Number ` <br />Proposed Use af Bullding <br />Descriplion of Work lo Be <br />�' <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 3105 <br />Phono <br />City Slale/Zip 1�2�-p�h��y�� <br />Z � <br />�3or�= <br />Con racl Price of Work <br />M� G+�r� �, ��,,, <br />Contact Person (Pian Review) <br />1 hereby certily fhat I have reed and examined this application and know the same to 6e frue and <br />correct. All provisions o( /aws and ordinances �oveming this type o( �vork will be completed <br />whether speafied herein or not The granting o( a permrt does not presume to give authority to <br />violate or cancel fhe provisions of any other state orlocal law regulafing construction or the <br />per(ormance ol construction. That 1 am authonzed 6y fhe owner o/ thls property to perform ihe <br />work for �vhich application is made and 1 comply wifh Ihe Sfafe Contracfors Law 18.27 RCW and <br />296200 WAC. <br />��� �' � �. , �� `� �?�0 IL <br />y�.,V `���_ A� <br />. -� <br />FEE <br />�2v►-vSl <br />