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ELECTRICAL PERIVIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-^57-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�-�.�J ���yn�p��� �� ��� <br />PROJECT ADDRESS <br />� �� _ 33�� �ly,��, � <br />OwnCf M11ail Address City <br />Tenant �4ail Address City <br />�L--��r�� L(r �', 7�� �Jrl S/ /i� Cf/ <br />Elec;rical ConUactor ��1ail Address <br />�--�,- �-��D3 I`� � <br />Stale License Number <br />�rs' <br />Proposed Use of Building <br />Description of Work to De Done: <br />i n5 �-�+ �� f%� r'G U L� i r <br />Ci�y <br />� '�L� <br />�/�� <br />S�ateiZip <br />State2ip <br />iw� <br />Slate/Zip <br />Phone <br />(�hone <br />J�Z/`�'_ <br />Phone <br />�4�• . <br />Contract Price ot Work <br />Contact Person (Plan Review) <br />NGTE' WIRING IN NON-DW6LLINGS IS REQUIRED TO C{ <br />BE IN RACEWAYS, MC OR AC CABLE. �' I <br />. i, _ � <br />> �;'/ � i <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br />I hereby certily thal l have read and examined this applicafion and kno�v fhe same to be Irue and <br />conecL A/l provisions ollaws and ordinances goveming fhis type of work will be completed <br />whethec4petrli�d he�ein or no1. The ,qranfing o1 a pernvt does not Uresume to give aulhorily to <br />violatp�or cancef the pro:isions ol any other sfate oi locallaw reg�dafing construcfion or the <br />peAol-mance ol c�nstrucfWn. Thaf 1 arn 3u(horjed by the cwner ol Ihis propeny fo peAorm the <br />wnrV Ior which arU�licafroh is rnad� and I cnrnp�y wifh fhe Sfafe Contraclors Laiv 18.27 RCIN and <br />��L<%irin <br />FEE <br />L� { � �!, l i- <br />