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ELECTRICAL PERMlT APpLICA1'10�1 <br />CITY OF EVERETT PERMII' SERVICES <br />3200 CEDAR STREET, EVER[Tf, WA 98201 <br />425-'257-8810 - FAX 425-257-8857 - ww��.everettwa.ory <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />lf-�%� � �/�%j'`7— — <br />PRGJECTADDRESS <br />/-- a- �- // <br />� //G�� ��� <br />G���t��l� o c.-'G�'li/.�£ ��426 ; fv'Y �T ��' i�;� ,� is --r G�,�- — <br />Owner f�1ail Address City Stale/Zip Fhone <br />Trnanl <br />Mail Address <br />City <br />State�Zip <br />Phone <br />i � �' <br />i'�.�.�� t G�� f. _' �..r C i' � i/ /�'�� �� T Slf— _, �,l/G1'i -C��fi«l Cr� 9 p/_-� �l-Z�� <br />.�' <br />Eloclrical Conlractor IAail Address Clty Slatc2ip Phone <br />IL��� �i,"�., <br />Sta�o License Number <br />..--�:. -':'r�.. <br />Proposed Use of Buildinc� <br />Contracl Price of Work <br />Contacl Person (Plan Review) <br />�escription of Work to Be Done: �� G" C-' /d /-/-� .;L/,C'' fs= /� S,� „(-''v i c:/F/ <br />/� " <'�= /'� n/i' ? /� G�/i ,l� /�-,' �°T- <br />NOTE: VVIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I haeby cmii(y thaf I have read nnd examined this applica(ion and know <br />correcf. All provisions o/ la�vs and o�dinances governing this typo o( tvor <br />irheU�erspecilied herein ornoL The c�rantirg ola perrnd does not presu <br />violateorcancelthe provisionso(anyothersfnfeorlocallawregulatin� <br />perfonnance o(conslruction. Thaf I am authorized by the o�vnerof fh�s F <br />work Por which application is ntade and I comply u�ifh tho Sfate Contractc <br />2SG.200 WAC. <br />C_;. <br />" . . -._�_ �� i� _ .1.. i <br />s to be frue and <br />cornplcted <br />ie authority (o <br />tion orthe <br />o perform (he <br />827 RCW and <br />FEE � <br />��% <br />� <br />�� �/ � /> > <br />