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, �:: -1 1,�� <br />PROJECT ADDRESS <br />Owner <br />Tanant <br />ELECTRICAL 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 �� .� /7 �/(� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM bI'iJ�� "l/"j 7 <br />n�� �_a !< ��� I� �' �,� .� I v C� <br />Atail Address <br />Mail ACdress <br />City <br />Cily <br />Slate2lp <br />Slate/Zip <br />Phone <br />Phono <br />;�� �n.rrnnnr e�-1e^ir� G-13G-1 0�1$o`?�Cj PIAJW ��Ll/1f,UUOC�iRa,9o� 3(LOS7w <br />Eloctrical Conlraclor Mail Address Ciry Slate2ip Phone <br />r'�. i:'lr.r,_ t 1iqt�%�. <br />State Licenso Number <br />"' f' ( C. `r �f: r i,.• (_ /"�_ <br />Proposed Uso oi Building <br />Descriplion of Work lo Oo Dono: <br />r�'i�, "7. ��r��Cr�{� <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 />�a5oo. ��v <br />Contracl Price o( Work <br />Conlacl Person (Plan Raviow) <br />I liereby ceitily th�?t I have read and exan�died fhis applicofion and kno�v fhe same to 6e frue and <br />correct All provlsions ollaws nnd oM�nances govemmg fhis type ol �ti•ork will bo complefed <br />�vhe(her specified herein or noL The �ranfin� oI n permrt does not resamo fo c�ive aufhonty to <br />violafo or cnncel tho provisions o! zany other sfafe or iocal lnw reguPtrn� construction or the <br />pe�fonnanco o/ constiuction. Ti�ot 1 nm authonzed by the ouner ol Ihis property lo pedonn fhe <br />�aoik lor which applicntion is mado and I comply �rith tho State Confracrors La�v 18.27 RCW and <br />2oG.200 WAC. <br />/ � <br />. , r ✓,.�� , . .' �,��� � � �� ��� <br />FEE <br />7 <br />