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i <br />ELECTRICAL PEI��IT APPLICATION <br />CITY OF EVER�TT PERPJIIT �ERVICES <br />3200 CEDAR STRtET, EVEF:ETT, �NA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEP i ED FROM 8 AM TO 4 PM <br />1 <br />%-;L� �� ��/j'�.�..�� tn,� ^`� <br />PROJECT ADDRESS <br />(� c-,- ,n e,�. <br />Owner i <br />Tenant�� <br />S-��,- �� ��- <br />Eleclrical Conlractor <br />� 1'� <br />Mail Addross <br />Mail Address <br />�� <br />Mail Address <br />� !c� LLe"7����� <br />Stale License Number <br />Proposed Use of Buildfng <br />1 <br />Description of Work to Bo Done: � tiC�(� '.. �J <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCA� SALES TAX CO�E IS 3105 <br />I hereby certily that 1 have read and exemined fhis applic+ <br />correcL All provls7ons of laws and ordinances goveming <br />whetherspecified herein ornoL The granting ola ponnd <br />violafeorcancelthe provislonso(anyofl�erstateorlocal <br />performance o/ construction. That I ant aufhonzed 6y the <br />work /or which application ls made and 1 compty with the <br />296.200 WAC. , � <br />, , / <br />.?�,'�-L� <br />e <br />City <br />Clly <br />rj�.�'V� <br />Gty <br />Stale/Zip <br />StaleZp <br />�� y,� <br />� Slate/Zlp <br />8-JG - �o <br />Ci oa8.-f'9� <br />S_ c��� v� U c� <br />Conlract PJ%e of Work <br />Conlact Person (Plan Review) <br />L <br />FEE <br />kno�v ihe same fo be frue and <br />of work will be completed <br />presume to give authonty to <br />lating consWction orthe <br />f this property to pertorm ihe <br />ifrac(ors Lo�v 18.27 RCW and <br />� y�' � U�.C� �� � <br />� �, <br />Phone <br />Phone <br />.-> r <br />� / <br />Phone <br />