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ELECTRIGAL PERMIT 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 4f� TO 4 PM <br />5 7c� Z !��'�� k E r';�c�c,2 <br />PROJECT ADDRESS <br />�� <br />Owner <br />Tenanl <br />L�.�i✓,�E�K <br />Mail Address <br />Mail Address <br />� �� <br />�v� � <br />Gty <br />City <br />1J. ��. 1� I �%i5�'/J L L1-C �(�� C �/JL <br />Eleclrical CoNraclor Mail Address <br />i) C F't= 7-� � o d o I3 C <br />Slalo License Number <br />� � _�� <br />Proposed Use u( Building <br />Gly <br />��^6- 3����-�; a72 <br />SWle2ip <br />Stale2i� <br />Stale/Zip <br />Contract Price of Work <br />Contacl Persc�n (Plan Revie�v) <br />/� ^ <br />Descriplion o( Work W f3o Dono: 1�` �! ��t 1� � �� /° U S r �� G x �N << <br />IZS �- c'_ <br />NOTL: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX C09E IS 3105 <br />l lu rob}� certi/y Ihal I N�ve rend and examined this applicnfion and kno�v fhe same fo be frue and <br />correct. All pmvisions olla�vs �nd a'dinances govenung this type o(aork will be cornplefed <br />whether speci6ed lierein ornoL The granfing o/a pernut Aoes not �resumo to give aufhonty fo <br />violafe oi cancel the �rovisions of an}� other s(ate or local la�v regulefing construchon ar fhe <br />perfe�mence ol conslruction. That I am authorized bY tha o�rner ot Ihis property fo perlonn Ihe <br />�vork lor which applic��fion is made and 1 canply wifh the Sfate Centrac(ors Ln�v 18.27 RCW mid <br />296.200 INAC. <br />�� � <br />I /- —� � 7 <br />.�;,T�-� !�-� �"`_`_� <<� <br />FEE <br />E l oo' -(v/ <br />Phone <br />Phono <br />Phone <br />