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� <br />ELEC�RICAL P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evere:twa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />y'�� SE EI���E; �� �r���c. ��'�— <br />PROJECT ADDRESS <br />�c�O�1} <br />Owner <br />Tenanl <br />��i �� � <br />Electrical Coi <br />Mail Address <br />Sq-��„x. <br />Mail Address <br />T/! � C �,{�� <br />Mail Address <br />Sn �?��� �G G G�l <br />Slale License Number <br />1 I--c STh� R-'�`9.'�" \ <br />Proposed Use of 6uilding <br />City <br />City <br />Slale/Zip <br />Slate2ip <br />i G��t/}` �i�lRi w/1 <br />Cily <br />Stale/Zip <br />Phone <br />Phone <br />�8 -r�c,7Yy� <br />Phone <br />�Z� �Z c�v"�� <br />Conlract Price of Work <br />Contacl Person (Plan Review) <br />Description of Work to Be Done: _ �� !� /L��--�-�- (C�S7R ai2 A� /�Q�[,� �� � <br />��c� l-r, .,, y �v �% t� Ex r STr ,vy �/,e�- ,= 2� ca I �fl-n,� IS <br />��� — <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 3'105 <br />I fiereby certily fhal 1 have read and examined Ihis application and hnow the sarne fo be irue and <br />correct. All provisions ol laws ar.d ordinances governrng Ihis type ol �vork will be completed <br />whether specilied herein or noL The gran(in� ol a permit does not resunte fo give aufhonty to <br />violate or cance/ fhe provisions of any other state or local law reguPating construdion or the <br />perlonnance o/ consfrucfion. Thaf 1 am authorized 6y t1 re owner of fhrs propertv to perlonn fhe <br />work Ior �vhich applicaiion is made an� I compty wifh the Sfate Contrac(ors La�i 7827 RCW and <br />296.200 WAC. <br />�L%� % � 5-(-p� <br />� <br />� <br />c _ �-� � <br />C� �, ; 'G' � � <br />FEE <br />