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osiivzooc os:iu raz so��z»zao cascaur•. �ioic�rc:�cr <br />ELECTRICpL PERMIT APPLICATIQN <br />CITY OF EVERETT PERMIT SERVICES <br />I�ooiioo� <br />3200 CEDF�R Sl REET, EVERETT, WA 982G1 / <br />425-257-8810 - FAX 425-257-8857 -„n�rr�.everettwa.org s' �� —�v <br />APPLICATIONS ARE ACCEPTED FROM 8 Ahl TO 4 PM � a6� �a <br />/`7 � �i �,J ��iu�fl�%T'eo ,G?/�/. <br />PROJECT ADDRESS <br />i <br />^ / . <br />(�-/f%��il��..( lf.i�(P.�C'-=� <br />Owner t,Sail Address Gry SIOIdZip Phonc <br />Tenant <br />hlail Address <br />Cily <br />SIotCILp Phone <br />i <br />PC7�r� Sshi��•+ .Ihf. /1/ S/S(� fie,i�..S�' ���'�.v.P, �✓.. 9�I•",i7 �'�9=/8`/- <br />ElcdricalContractor 1.1oilAddress � Stat�Zp Phcne <br />C/ecfS2 0/� !?�Y <br />Statc License Numbcr <br />�e�/J�c./' <br />Proposed Use ol 6uiWing <br />i <br />Description of Work to 6e Done: Ct��'/ �� - �� / G Ui f <br />NOTE 1NIRING IN NON-DWELLINGS IS REQUIRED TO <br />�[ IN RACEWAYS, MC OR AC CABLE. <br />CIiY OP EVERETT LOCAL SALES TAX CODE IS 3105 <br />�OV l% GO <br />Contraci Price of V1'orh <br />Contact Person (Plan Rcvicv;) <br />FEE <br />! hereby certdy lhaf 1 7�ave m.id , nd ea�amrnad fhis applicotion and kno�v fhe samo f0 be Iruc and �(`� �-rj -I <br />wrrecf. All piovisions c� I,r..; ond erdi; iances governmg fh�5 fype of �rod< r.•ill be wmpfefed �-'� <br />a�hethcr speciLed he�cin or not. The g�an!ing ol a permd does not presunre to 9���e authority to <br />viofale or cancel fhe pNviSions ol. ny ofYer sfate or 1pC01 Lnv �eoul.�fir�g con56zrCtion o� Ihe <br />perloimance o7 cansVucLon. Tha� l;im �uYre�izetl Gy Ihe o��ner of Ilris prope�7ylo peAcnn ;Re <br />ivork lor �vhich o;;plicafion is rnade and I comply �rdh !fm Slt+lc Co+;tr�Clors Lmv 19.:7 /ZCIt� and <br />296200 Vi AC. . <br />i� G6 <br />