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b-3i-�� <br />ELECTRI�AL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, <br />, ^ � <br />�� I, T`S (-� c����� �,� ��. l,�'-� <br />PROJECT ADDRESS ` <br />Owner <br />Tenant <br />, <br />Mail Address <br />Mail Address <br />.��. ���X�II l <br />Mail Address <br />�)KG�EKEqO���K <br />Slalo License Number <br />)� �� 7-�1�� �� <br />Proposed 5e of Building <br />Descnplion of Work to De Dono: <br />C <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 />Ciry <br />Cily <br />Cily <br />�� <br />Stale2ip <br />State/Zip <br />Stale2ip <br />����. �-�; <br />Contract Price of Work � <br />� <br />(��lLl(.t ���Tr <br />Conlacl Person (Plan Revie�v) <br />1 hereby certily (haf 1 have read and examined this application and kno�v (he same to be We and <br />correcL All provisions of la�vs and ordinances c�ovenung fhis type o! �rork will be complefed <br />�rhefher specificd herein or not The granfing o( a perrnd does nof resume fo give aufhonty fo <br />violafe or cancel fhe �rovis;ons of any other stafe orlocallaw rec�uPfinc� cons(n�cfion or fhe <br />performance o! consfruction. Thaf 1 am aufhonzed b}- U�e avner oI this property to pedorm the <br />�vork lor �shich applicafion is ntade �nd 1 comply �rith fhe Sfate Contiac(ors Latv 1t3.27 RCW and <br />29G.200 INAC. <br />FEE <br />W' C <br />Cc��iU ?c7 <br />�, <br />Phone <br />Pho�e <br />�� <br />Phone <br />