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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �- i 5� 11 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org i i I � i- 0� 0 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� z � s Lt/F I"Mo /i G <br />PROJECT ADDRESS <br />�i�uG�✓S �z�� WETMvRF �s-v�rT 98' <br />Owner Mail Address Gty Slale/Zip Phone <br />.� <br />Tenant <br />Electrical Conlrador <br />Mail Address <br />a�rnic <br />Mail Address <br />City <br />Cily <br />N M/0 <br />„ I 1 . `il� <br />(3e�DhD= 932 c L ` - <br />Stato License Number <br />/CFS ��)��/i i�}-L <br />Proposed Use of Buildin� <br />Stale2lp <br />State2ip <br />Phona <br />Phone <br />�S��d <br />CoNracl Price of Work <br />�QucE /-luDElzf��t/ <br />Contacl Person (Plan Review) <br />Doscription o( Work to �e Done: /VG�L� %�A'�✓G L �GI�//iCE l�/T .�i[ f�Iry <br />/ <br />_��i�N,J �, /1/7 / L.��"r�R DA'H�islE <br />�— <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CAOLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ce�tily fhaf l l��ve re�d nnAexarnineAOris applicafion and kno�v Ihe santo to 6o fruo end <br />correcL A/l piorisions ol la�vs and orAinances govenung (his typo ol tvork will6o cornpleted <br />rvhefher speaGed herein or noL The granting oI a perrnd does nof �resumo fo give aufho�ity fo <br />violafc or cancel lhe Inovisions o/ any ofher sfafe or local law rec�u�ifing wnsWchon or fhe <br />perfomiance o/ consfruction. Thof 1 am aufharized by Ihe o�rner o/ this property fo per(ann Ihe <br />work !or which applicafion is mnde and 1 compty uifh the Sfate Conlractors La�v 18.27 RCW and <br />FEE <br />r,-,v <br />� /v�a- - <br />