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06/2�J/'1000 08:'.!i I+A\ 960GS.10435 GAkVI\ li\"1' INC <br />fdJ001/001 <br />ELECTRICAL PERMIT APPLICATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 C� ��� � <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �p�'� 6�l �� <br />APPLICATIONS ARE ACCEP7ED FROM 6 AM 70 4 PM <br />�/��..1 i,�.�� <br />PROJECT ADDRESS <br />Tenant <br />�!%��. <br />h1a� Atldress <br />Mall Address <br />._ n <br />COnlractof / Mail <br />�,�.yT��q ���y <br />Slota Licensc Number <br />� <br />/� .�lLYl.r.GC.� <br />Pwpo ed Use of Oullding <br />Descriplion of Work to E3o Dono� <br />NOTE: WIRING IN NOh•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CA�LE. <br />CITY OF EVERETi LOCAL SALES TAX COOE IS 1'105 <br />City <br />City <br />Slato/Zlp <br />Slale2lp <br />Phone <br />Phone <br />Cily " SlalrJZiO Phono <br />�L.(/ / <br />Contrecl Pnce of Wodc <br />P!}„� ���,e_%. <br />Contact Porson (Plan Review) <br />! hern:ry cehily fhat I have reatl and ezaminod (his aGPlica(ion and know fho samo fo be frue and <br />concct. All piovisions o/laws and ordinances govmrunr�;his typo ol woric will bo completod <br />��.Ir�(her speci�r.tl horom or noL The granhng ol s pormrt does nof prvsume to aive authonty (o <br />riolate or concol fho provisions ol any other s(nfo or /ocal la�v rogu/afing consLuction or fho <br />peNomianco ol consWcfion. That I am aWhonzod by fho owno�ol �hisp mporty to pedoim fhe <br />u�urk Ior whrG� epplicafion is matlo and I comply �wfh fhe Stato Cont/acfors Law 18.27 RCW and <br />29& 200 WAC. <br />FEE <br />c��,��,_,3y <br />