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t <br />ELECTRICAL PERMIT ARPLl�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8£i10 - FAX 425-257-8857 — www.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 1•M <br />=' 7 Z 7 �w'� /l ��^� <br />PROJECT ADDRESS <br />rz-�z -07 <br />� o��z-v6� <br />u�--z�,�- <br />�usU� �%�� Gow'vz�, �2.P Fvc✓� w/� � <br />Ownef Mail Address Cily Stale/Zip Phene <br />Tenant Mail Addreis Ciry Slate/Zip Phone <br />i 1i'HzLu// b� �/Ld> �1�-2k�-3G <br />Electrical Conlractor Mail Address <br />Slate License Number <br />�rp��1L� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />c.� Gv�au., � — <br />� <br />NOTE: WIRING IN NUN-DWELLINGS IS REQUIRE6 TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />C�TY OF [VERETT LOCAL SALES TAX CODE IS 3105 <br />S�ate/Zip <br />� �r �u G� °s <br />Phone <br />Contract Price of Work <br />���, � <br />��O .lD�N Ui�. <br />Contact Person (Plan Review) <br />I hereby cerfily fhat I have read and exarnined fhis application and know the same to 6e frue and <br />correct Al/ provisions of laws and ordinanr.es governing this type o/ �vorlc will he completed <br />whefher specilied herein or noL The granting ol a pernut does not resume fo �ive authonty to <br />viofafe or cancel the provisions o/ an�� ofher sfafe or local law reguPting construction or the <br />perlonnance o/constructron. That I am authorized 6y the owner o/ this property to perform the <br />work /or which applicafron is made and 1 comply with fhe State Contractois Law 18.27 RCW and <br />296.200 WAC. „ <br />FEE <br />t j'� rZ-/�% <br />��e �� <br />v� �� <br />I� <br />