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ELECTRICAL PERIUIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C� atre, �,v-� ��-c��n �.i�; v.! !�- `izS-'Z-�g • 122 ! <br />Owner 41ai1 Address City State2lp Phone <br />�� � M r 1 e �'E-v�ic. Z�-11 lo ��' i-N� Sf �f� c-� t�" R6 Z� I�IZS-Z � Z�i'fb% <br />Eleclrical Conlracbr Mail Address Ciry Slate2ip Phone <br />�C��r��-����J f <br />Slate Licenso Number <br />�j�� <br />Proposed Use of Buildinc� <br />`ti' Z��,c,_�= <br />ConUacl Prico of Work <br />��•����1l� 2.Ju w.�.�,�- �o�uv:__ . G��:�in �e�.� �:�-� <br />WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABL[. <br />1 hereby certi(y that 1 have read nnd exesiined this applicntion and kno�r fhe sarne fo bo frue and <br />cormct. All provisions ol laws and ordinances �ovemuig fhis fype ol �rork wil! be completod <br />whether specrfied herein or not The grantin� ol a pemirt does nof rosume fo give authonty to <br />vielate or cancel (he �rovisions o/ any other sfate or local la�v rec�uPfing construction or fhe <br />perfomiance o( consfruction. That 1 am authonzed by the o�ti�ner o/ fh�s property fo pedomi the <br />work !or which applicafion is made and 1 conrpty uifh fhe Sfate Con6acfors La�v 18.27 RC W and <br />29G.200 WAC. <br />FEE <br />