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ELECTRICAL PERIVIIT APi'LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE ACCEFTED FROM 8 AM TO 4 PM <br />�i f o �l ��" � �rG I.J <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />� <br />Slato License Number <br />� r50nw\ �w !�,' <br />Proposed Use af Building <br />Description o( Work lo �e Donr.: <br />A9ail Address <br />M17ail Address <br />9S�/ 3Is1` <br />Mail Address <br />Cily <br />Cily <br />Cily <br />Stale/Zip <br />Slate/Zip <br />Slalel7_ip <br />"d/ S� 7� <br />Contracl Price of Work <br />Phone <br />Phonc <br />337 3 00(0 <br />Phone <br />NO-��tin1 �jJr vi E 1^ <br />Conlacl Person (Plan Review) <br />NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ,� <br />1 hereby ceriify fhat I Itave read and esamined fhis ap��lication and knotv Ihe same fo be fnie and �� Zv� -��.� <br />rormc�. All pi�visions ol laws and erdinances yo�-ernmg this typo o/ wurk �rill be r,omplefed <br />nhefh�r specdied hera;n or not The gronfing o/a pemut does nof r'esurne fo gi� e authon(y to <br />t�iolate or cancel the previsions o/any ofher state e� focal la�v rec�uPfing consVucl,en or the <br />per,'ormance ol cons(ruafion. That I am authorized by the on�ner ol th�s pmperfy lo oerlcrm the <br />�rork lor �vhicl� applicalion is rnade and I compty trifh tlie State Contractws La.v 18 27 RCW and <br />296.200 INAC. <br />�_ � <br />��/1/t i��(�i� .✓l�T�'1�- Z <br />Sic�naWr ��� <br />