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ELCCTRICAL P�.RMIT APPLICATION <br />CITY OF EVERETT ��RMIT SERVICES <br />3200 CEDAR STREET, �VERETi, WA 98201 <br />425-257 8810 - FAX 425-25?-8857 - v,�ww.everettwa.or� ( Z�17�-D� � <br />APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM � � 6 I�. ��OZ <br /><�; c� � � �-�__>� �- L� ��� •; � - <br />PROJECT ADDRESS <br />�;�Pv��� M'���'TJ'r- �lu7_:'- t—��-( l '_�J�=G's_i i UVc� <br />Owner Al2i1 Address Cily State/Zip Phone <br />Tenanl <br />Mail Address <br />City <br />Slate/Zip <br />Phonc <br />� <br />�� �E�� � L� �.� �_ � c: \ lj�z:'i� �r o )�� V,t-.`. �� 7 � -.'>\"l -� � . °,-" <br />EleCtriCal Con�raClor Mail Address City SlalelZip Phone <br />_�C��\ -.I �C=� \ �-�. � <-�'� <br />Stale License IJumber <br />.:� �-�'� <br />Proposed Use of Building <br />ca <br />� J �7 • <br />Conlracl Price of Work <br />Conlacl Person (Plan Review) <br />Descriplion o( Work lo �e Done: '�r � �� c_ �- v�-E �i- fi��- -�. \ti�t-F �-� <br />�v�--�, l�Z.r.; AM�= �v_i�-r��v-�. Ac����_��rlwczz«���sF�;vr.— <br />`r-'��F--c--2_�' �� TC\_\r_ r--� Ci� \ . <br />NO1 E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX f,ODE IS 3105 <br />I hereby certily fhat 1 have read nnd examined Ihis application and kno�v the same to ae true and <br />correcL AU proviswns o( laws ana ordinances �oveming this type ol work o�ill be comp/eted <br />wfiefher speci�ed herein or noL The graating o/a permd does nof presume to give authority to <br />viola(e or cancel the provisions o(any other stafa orlocal law re�ula�ing ccnsfrucfion or fhe <br />perfomiance of cautrucfion. That 1 am authorized by the owner of fhis property to penomi the <br />�rork lor �vhich application is made and 1 comply with fhe State Contractors La�v f827 RCIN and <br />296.200 WAC. <br />1-Z= �Z-��- <br />.��1:3..:��'...i:_..�,....._,.�-.,':.: ... _.._t-_._ . .1w.:i�:yYi.�a.W.C.�...�-.�:i .,�_.._�.L <br />FEE <br />Eo�la-��2- <br />� <br />