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ELECTRIC.AL ��RIVI�T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_<_�� <br />3200 CEDAR STREET, EVERETi', WA 98201 J„_. , <br />425-257-8810 - Fr1X 425-257-8857 — www.everettwa.org � ' � �' ' `' "�' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />"'� i liCj�7� �; � '�j`o�C.'� rJ'(J�-`' � <br />PRGJEC ADDRESS <br />�T ( i��,� - <br />-� � - � iu c , <br />� � �F %c�(= ��i<_' C ;i �'1.'i;ri rl i��i <br />Owner Mail Address City State/Zip Phone <br />,!� l,i l� �` C; l( `� � � 1- '� "l C'C"' le �� 5 1 t- 6`E�<'"c � 1 `' ��' � <br />Tenanl Mail Address City State2ip Phone <br />1�,1 II:„� <br />Eleclrical Cor <br />I�, ,���;�z j.�<,�;�,,..; �C� <br />Mail Address <br />� �� -z ��,� l ���r�-� � En ����:�o�:� U <br />State License Numbe <br />i �P'-11 `.i � Tli. <br />Proposed Use of Buildinc� <br />Descriplion o( Work lo �o Dono: <br />�,,f/I!(� Lt'G:vil4'�� <br />,'��il I i��l�c �i� �. ><-�:•, �,c <br />NOTE: WIRING IN NON-DWELLINGS IS FEQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 heieby cerfily that 1 have �ead and <br />correcL All p�ovisions o/la���s and c <br />�vhetherspeci/iedhereinornot Thi <br />violate orc�ncel fhe provisions ofai <br />perfomiance o( consfruc6on. That I <br />�vork lor �vhich applicafion is made c <br />296.200 bVAC. ' <br />� � �; <br />i l._- � i ;. <br />� � i <br />� <br />City <br />l.'�c, ��� u,'-' `�lr� <br />Slate/Zip <br />�"T <br />Contract Prica of Work <br />Contact Person (Plan Review) <br />this appliculion and kno�v the same b be (rue and <br />govemmg this type of work will be complefed <br />�( a pernut does notp �asume to give authonty to <br />ite orlocal law regulating consfruc6on or fhe <br />�zed by (he o�vner ol this properiy to perform the <br />v wifh the Sfafe Con! actors La�v 18.27 RC W and <br />=; � <br />r�ll _ i <br />�i;u�G `> C�� <br />FEE <br />Phone <br />(�l 1 US - G`L� <br />