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ELECTRIC,AL PERMIT A►PPl.ICATION <br />CITY OF E�.�ERETT PERNlIT SERVICES <br />3200 CEC�AR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTE� FROM 8 AM TO 4 PM <br />l�iC/ /� f9- F� rz_I �� 14— — <br />PROJECT ADDRESS <br />C�I47T:fi <br />p'y� J..i L/l_ <br />Tenant <br />r1 O <br />Mail Addross <br />Mail Address <br />City <br />StatelLip <br />Clty Slate/Zip <br />�`S6Z <br />�-3 —+i <br />c� r�a g -�a�( <br />� hone <br />Phone <br />Eszc �c�� �� zZ �'�.<� 6��:.%� ��.��.�� u�� ���i <br />Electrical Contreclor Mall Address Ci:y State/Zip Phone <br />���� C.,-�(_�1 �/'ISJ�u/ �/L�� <br />Stale Lfcense Number <br />S l��/ <br />Proposed Use of Building <br />Descriplion of Wark lo Be Done: <br />' �� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRE� TO <br />8E IN RAtEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /><�� � <br />Contract Price of Wo+k <br />�l?� -� �d 'C� <br />Conlacl Person (Pian Revlew) <br />�O.Ehu/J / /— <br />ihat 1 have read and examined t6is applicafion and know the same to be true and <br />roisions o//aws and ordfnances �oveming thls rype of work will be completed <br />ed herein or noL The granfing oI a permd does nof presume fo give authonty to <br />�1 Uie provisions of any other stafe or local law regulating consiruction or fhe <br />'constnrction. That I am authonzed by the owner of fiiis property to pedomi the <br />applicstion is made and I comply wifh the State Contrac(ors Law 18.27 RCW and <br />FEE <br />`c�LceG <br />