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ELECTRICAL 1�EI�MIT APPLICATIaN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, E4ERETT, WA 98201 <br />425-257-8810 - FAX 425-257-a857 — wv�v+.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5� 2c.� N o� -� �-u .� � �� n�(-t- �^>-�.1 <br />PROJFCT ADDRESS <br />3 �a��u <br />C wl�a3-�6 <br />5 ho i� r�� �iF �.� s r <br />a,a.5� 7o+`,�Rue r'lercce���T'S(,aw� �w-�1 <br />Owner A9ailAddress City State/Zip Phone <br />Tenanl <br />Electrical Contraclor <br />�2�a s _r- �9ac <br />State Licens� Number <br />Proposed Use of Buildinc� <br />�dail Address <br />o�L- <br />MallAddress <br />City <br />Slale/Zip <br />—30 : <br />' 2cl��l� t� � <br />Phone <br />`T �av`;' <br />Slafe/Zip Phone <br />!i c� a � -- <br />Contrect Price of Work <br />CoMacl Person (Plan Review) <br />Descriplion o( Work to �e Dono: 1��1 (�� �� C� I� ha U w��1 1 ����L�� �- �� � <br />L�,1� Ne� oti�: <br />NOTE: W IRING IN NON-DVVELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhat I fmvc reaii t�nd examined (his applic� <br />correcL All provisions olla�vs and ordinancas govcrmng <br />�vhetherspec�licd hercin ornoL The granting o(a pernuf <br />violate o� cancel fhe provisions ol any ofhe! state or local <br />pe�formance ol conslrr�ction. That 1 am authorized by the <br />work lor which applic��lion is made mid 1 comply �vifh Ihe <br />996.200 WAC. <br />�Cc,,-,� <br />nnU Fnou� the same !o be true and <br />�pe of tvork �vil! be carnplefed <br />not nesumo to give aufl�aity to <br />enulatinq cons(rucfion orfhe <br />FEE <br />�itractors Lo�v 18:27 RCW and <br />��Jrl �,� ��03- <br />� oCv <br />e <br />