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ELECT�f��.i. PERM�T APF"' ICATION <br />CfTI' OF EVERETT PERI'JIIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-3857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� � J / �j��j �i T v�.�-- _ <br />PROJECT ADDRESS <br />�� <br />w��� �U«.�ev <br />t�L.,, _.'�i,. _�o �� �. C7_ i � i.��.c � w�u <br />Tenant <br />Gv �"✓ Fi��- <br />Electrical Conlractor <br />Stale License <br />Proposed Use of Building <br />Mail Adaress <br />Mail Address <br />Mail Address <br />Souare Footage (If residential new construclion, remodel or addition) <br />.���� <br />City <br />City <br />City <br />07 �3 - � rf� <br />93 ��' <br />w� S�D s � <br />State/Zip <br />Slate/Zip <br />State/Zip <br />Contract Price of Work <br />Contacl Person (Plan Reviev�) <br />Phone <br />Phane <br />Phone <br />Description ot Work lo Be Done: �,J� ce � �� Te / i r i"S ���`5 �~ <br />; NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />� BE IN RACEWAYS, MC OR AC CABIE. �GJ , D O <br />�i <br />I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ce�tily that 1 bave read and examined (his application and know the same to be true and [j �� t�'3 b�— �(� � <br />correct All provisions o//aws and ordinances goveming fhis type of �vorlc wil! be completed t� W <br />whetherspecfied herein ornot The granting o/a pemid does nof resume fo give authonty to <br />violate or cancel the provisions ol any o(herstate orlocallaw reguPtiny canstn�c6on or the <br />pedonnance o(construclion. Thaf 1 am aufhonzed by the ownero(this�iopeRy to peAomi the <br />�voric lor which application is mado and 1 comply with the State Contraaors La�v 1827 RCW and <br />296.200 WAC. <br />!, <br />, �v- <br />