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ELEC�'RICdo►,L PERMIT APPLICATION <br />ClTY OF EVERETT PERNiIT SER4/IGF� <br />3200 CEDAR STREET, EVCF.ETT, VJA 58:?: ' ,�r I`pf� <br />425-257-8810 - FAX 425-257-8857 — ww�rd.e: .: �awa.org S 6 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��� �v ��� <br />�y2�� �/�C�.'�1.� �� F= �'�_.�% ��-r, �ti� A � 1 c�2 i�f� <br />PROJECT ADDRESS <br />(�uliY; �.i�/�C��1'l�C� 1 � �`��;�ti����� � �;�iaY:��;��� �?�:�tr,. �� %�.����z�� <br />Owne� tdail Address City StatelZip Phone <br />Tenant <br />����'� � <br />Electrical Contraclor <br />Stale License Number <br />Proposed Use af Building <br />Mail Addmss <br />A7ail Address <br />City <br />Cii) <br />sia�e�z�� <br />StaterZip <br />Contract Price o( Work <br />Contact Person (Plan Revier+) <br />Description of Work to Be Done: �,��J i�. ��� �1 `��t�i) �,��� ��1�� �..��i� • <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX rpDE IS 3105 <br />read and examined fhis ap�lication and know fhr sarne to be frue and <br />nvs and ordinances govemmy this type oI �ti�ork �vill be completed <br />r noL The grantinc� o/ a pem�d does not resume to give authonty fo <br />�ions ef any other s(ate or local la�v reguPfin� consVuc6on or fhe <br />�n. That 1 am authorized by the o�vner o( fhis pipperty to perform the <br />is made aqd 1 con�lv with fhe Sfate ConVactors Law 18.27 RCW and <br />FEE <br />-1 4� C� <br />Pnone <br />Fhcn( <br />