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ELECTRICAL PER.MIT APPLICATION <br />CITY OF EVERETT �ERMiT SERVICES <br />3200 CEDAR STREET, EVEREiT WA 98201 <br />425-257-8810 - FAX 425-2!'i7-8857 -- ��vw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />'.l �` `> 1j:.���p p ��a✓i✓ /- ✓i_ <br />PROJECT ADDRESS <br />i�7 <br />owner <br />Tenant <br />A1ail Address <br />Mail Address <br />Sf�-,r� c 1�S F� C o✓c- <br />� Ci�y <br />Cily <br />J/i� b'✓��,,k=S Lz��zl� IL�I Z5 �UN.i-Wn�--,r v� �Nt —�2�( <br />Electncal Conlractor Mail nddress ���Y <br />l i' i �zc- w� a_ �j y' c � � <br />Slale License Num�er <br />� E��� 1��>7� il /�L <br />Proposed Use of �uildin9 <br />y�s Zs`i � Y � � <br />State2ip Phone <br />Slate!Zip Phene <br />; �a il-IcL�-9c01 !(3�e�Ls`i-�� <br />Slale2ip � Phone <br />� o:: <br />�,0�� 0'— <br />Contract Price of 1'York <br />Conlocl Person (Plan Revie;r) <br />Descriplion of Work to Be Done: ��� �� � I 12-t�� Z�� � �/� 57�� L�� 5 rn''�IC�� � FSZ=L�/=s <br />NOTE: WIRING IN NON-DWELLINGS IS RF�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certil}� fh;rt I have mad and ex. rnined fhis applicafion and kno�v fhe s. nie to be Irue and <br />correcf. All prorisions olla�vs and ordinances gove�ning this q�pe o(trork u�ill be conlplefed <br />u�hether specilied herein or not. The granting o/ a pernnt dces not piesume fo give authcrity lo <br />violate or cancel Ihe provisions of any other state or lo�al law mgulating consirucbon or the <br />perionnance o! construc6un. Thaf I am aufhorizcd by the owner e� Ihis properiy to peAonn the <br />work lor �s�hich application is made and 1 ceniply �vilh the Slate Contracfors La�v 78.27 RCW and <br />296200 WAC. . � -, <br />/j <br />� -7 <br />,;��C��'.i�>: -���'������ ��� —� l <br />FEE <br />�C�OI - Ul �i <br />