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ELECTRICAL PE:RMIT APPLICATION! <br />CITY UF EVERETT PERMiT SEI�tVlCES <br />3200 CEDAR STREET, EVERETT, WA 88201 ��10 -- O� <br />425-257-8810 - rAX 425-257-8857 — www.everettwa.org CD�D 3—U � 5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�>�Z�l L��g��(J <br />PROJECT ADDRESS <br />i�.� �- �N �C�Tt�E�-j-"'� <br />Owner Mail Address <br />City <br />StateiZip <br />Phone <br />Tenanl Mail Address City State2ip Phone <br />y�� <br />`-��i�`�MIT �-LECT(�-�� ��.03 2C�1�� Sfi�li�J STAr�c��v:�� WA �`62`�i 2"'$ '��3 <br />Eleclrical Conlraclor ldail Address City Stale/Zip Phone <br />_4 1 M Nl l C c�GU �� Z <br />Stale License Number <br />"L v�t �T cc� �I �� o <br />Proposed Use of Buil�ing <br />R nd J <br />Conlracl Price of Work <br />Contact Person (Plan Review) <br />Descriplion of Work to Be Done: � 1 i�E_ N�l� Z, UN (� C O N� 0 L�J /�C fJIY �F-vl(JG <br />NOTL=: WIRING IN NON-DINELLINGS IS REQUIRED TO <br />BE IN RACE�NAYS, MC OR AC CABLE. <br />CITI' OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily tha(1 have rec�d and examined fhis application end know fhe same to be true and <br />correct A/l provisions of fa�vs and ordinances goveming fhis type ol woiic will be completed <br />whether speci6ed herein or noL The �ranting of a pemid does nol presume to give au(hordy to <br />violate er cancel fhe provisions ol any other s(afe or local law regu/sling construcfwn or the <br />perlonnance o/ cons(rucfion. lhaf 1 arn authorized by the owner o/ fhis property to perfomi (he <br />work /or which applicafion is mado and 1 comply with fhe State Contractors La�v 18.27 RCW and <br />296.200 WAC. <br />��`\ 2�1U' � <br />FEE <br />{= G �G ;i C,`is <br />