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ELECTRICA� PERMtT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STFcEET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />, ,-�_� ? <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� DIc 5-��`i <br />� 1 / � <br />j L i � �,�' V�III-(� .�/I' � t".'�'�- .,,. <br />PROJ[CT ADDRESS <br />;:(����j�r f-;���(�t%i' �j(?CC Ct u.:C,t-��':'i�, �U<�r�('riT t.,l(i `(ZS 25`J `il� � <br />Owner A1a�' Address Cny State2ip Phone <br />Tenant <br />E-leclrical Conlractor <br />Stale License Number <br />� �� i iGC N <br />Proposed Use af Buildinp <br />P,tail Aadio;s <br />Mail Address <br />Gt�, <br />City <br />Slate/Zip <br />Slate/Zip <br />Conlract Price of Work <br />Contacl Person (Plan Review) <br />Descriptiono(WorktoBeDone: �UU.LE� !fJ rJk�,J %1������Of� � �r�ll� C�'_f <br />NOTE: WIRING IN NOtJ-DWELLINGS IS REQUIRED TQ <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi/y fhaf I ha��r, �ead nnd examiqed Ihis upplication and knotr Iho same lo Ge frue and <br />correct All provisions ollaws and o�dinances govemmg this type o! �vurk wifl Ce complefed <br />whefher specilied herein or noL The granting ol a pernut does not presume fo gi��e authonty fo <br />violafe or cancel the provisions oi any other sfate or local la�s regulafing construchon or fhe <br />performance o� construction. Thaf 1 am aufhonzed by the o�vner ollhis�ropeiiy to perfomi the <br />�vak for which application is made and 1 compty with the Sfate Contrac.ors Law 1fi.'l.7 RCIV and <br />29& 200 WAC. <br />I � � /) l � l '"I� �I . <br />� <br />�,�I�i i� � t <br />Phonc <br />Phone <br />FEE <br />�j � `„" <br />U� C� ��- i � ! <br />