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ELECTRICAL PERMIT APF3'�ICA►TION <br />CITY OF EVERETT PERMIT SERVICE� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wwva.everettwa.org <br />�/� . ' I � <br />�fi 1 ' <br />PROJECT ADDRESS <br />_�t'i�li}`�i�vL ��i �11� <br />Owner <br />Tenant <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� 1 <br />., '��. � -, ',_�.0 �} �_'�_�� �-7i <br />Mail Address Cily <br />MailAddress <br />Cily <br />C }— <br />C� C -1J�'1�1 <br />SlatelZip <br />SlalelZip <br />,� �; � <br />Phone <br />Pnonc <br />SNOHOMISH ELECTRIC INC � O �y �%S ���(1i.�'�Oi�KU kA �1�21•� 1�ZC- 3�i�-�7�'� <br />Eleclrical Conlraclor Mail Address Cily Sl.�le2ip Phone <br />51��f� HO � 1 1 I G(� L�i <br />State license Number <br />�' '��` <br />proposed Usc of Duilding <br />Descriplion of Work l0 6e Done: Lt-' � ` 4�- �'� �' �"�' I��� � ; � �, �, `-� <br />NOTE: WIRING IN NON-DWLLLINGS IS REQUIRED TO <br />CiE IN RACEWAYS, MC OR AC C�aBLE. <br />--� �, �, � � , �, �- <br />Contracl Price oi Work <br />Conlacl Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 herehy certilv fhat 1 have reaAand exarnined this application and know fhe same fo be true and <br />co�tecL FlII provisipns ollaws and ordinaqces c�overning fhis lype ol wak will 6e complefed <br />whefhcr spn,cifieA r�rein o� noL The granfing ot e pemut does nol resume lo give aufhonty fo <br />violafe or cancel fhe provisions oI any other sfafe or local law reguPfing consln�cfion or fhe <br />perfornrance oI consfrucfion. Thaf 1 am authonzecl by the owner of Ihis propert}� fo pedorm the <br />�tioih lor which applicafion is made and 1 compty �+ifh Ihe State Cont�actors Lau- 1877 RC1'V arA <br />296.200 WAC. <br />i <br />��( t �.. C.�,`. C�.. � c, o,v� — I 1 <br />FEE <br />(_�IJI-r��� <br />