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ELEC1'RICAL P�RMIT �PPLICATION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR .`iTREET, EVERETT, WA 98201 <br />425-257-8810 - FF�X 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />����s- �/ � <br />PROJECT ADDRESS � <br />� "` � <br />Owner <br />Tenarl <br />��Lr�� <br />Electrical Conlraclor <br />(' t ( S �G7zl <br />Mail Address <br />Mail Address <br />��� 73/ <br />Mail Address <br />�h G� Y'F— L� U J%C/` / <br />Slate Lnicense Number <br />I\ CS� <br />Proposed Use of Building <br />Descriplion of Work to Be Done: <br />��o �1+a �C° <br />rj�y <br />j {G-f�Y�� <br />cnv <br />� �� �� <br />Ci�y <br />NOTE: WIRING 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 />or <br />/ <br />State%Zip <br />Slale/Zip , <br />/(/' ��, ��aaie��� <br />Slate.2ip <br />f�'t" <br />3�ad. � <br />Conlracl Price of Work <br />-__ <br />Conlact Person (Plan Reviev:) <br />G 1�10c�E' � <br />1 have read and ezantined this application and kno�v the same !o be true and <br />ns ol laws and ordinances governing Ihis fype ol work tvill be completed <br />��ein or not The granting o/a pernut does not resu,ite to give authonty fu <br />� provisions o! any ofher sfate or local law reguPting consfruction or the <br />sfruction. That 1 a t� aqthorized by fhe owner o(Ihis property fo pedorm the <br />ra�r�„ ��i�,;,dn a�n i,r:mm�lv wdh the Sfate Confractors Law 18.27 RCW and <br />��� �� —ZG(�✓� <br />Phone <br />Phone <br />9�z1� <br />Phone <br />FEE <br />J� — <br />�/6 "�� <br />