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�--- �- -- <br /> ELECTRiCAL PERIVIIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � -U-"�j � <br /> �/�2-��Z <br /> /S� �f/ JT S:,ZEFT <br /> PROJECTADDRESS <br /> � Owner Fda�lAddress � Cily State2ip Phone <br /> 'f.�-S <br /> !-/1�ti7/F,e �rrrlu�liF�A7�v.</ /'2a� '�/ �rST.rrCF /_�i/Sr�.sY G✓,�. 9�A� 3 ?Gf-G/o9 <br /> Tenant PAailAddress Ciry StateiLp Phone <br /> United Electric Contractors, Ir.c. - 5301 So�th 2nd Avenue, Everett, 47A 982G3 425-252-7811 <br /> EIecl��calCon�racio� �dailAddre=s C�ty Slate�Zip Phore <br /> f�[dITEEC 17� hIo ' p� S�� <br /> Slate License Number Contrac� Pnce uf Work <br /> �F'FiG E <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Square Footage Q(residential new cons?rucl�on, remodel or add�uon) <br /> Descnption of Work to Be Dane T I ADO /Y-Fc,� Qw.JF� f�o✓iOFD Gi'g,vE.G1-7�� Tf <br /> `C' /,R,c%.'t._Y 1rY,2/ �{,OD AODi%/oNiF.t. G'1 P.J6,P�i'oR �`i�eNuii� <br /> NOTE: WIRING IN NON-DWEILINGS IS REQUIRGD TO F[E � <br /> BE IN RACGWAYS, MC OR AC CABLE . <br /> , ���I � 5� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �— <br /> 1 hereby cerfi(y lhat I have read antl examined this�pplication and know the same lo be fnie and � <br /> conecC All provisions ollaws and ordrnances govemmg this type ol wo�k�vill be comple(ed `1 <br /> whefhe�speci�ed herem ornof The granting ol a pemut does not presume to give aufhonty fo G �v� � (���- <br /> violate nr cancel the provisions o!any ofher sfa�e orlocal law regulafing cons�ruc(ion or fhe <br /> peAormance o/consfrucLon Thaf 1 am aulhonzed by fhe owner o/this�rope�y to peAo�n fhe <br /> �aork lor which application rs made nd l comply wifh(he Sfate Contraclors La��i 1B.27 RCW and <br /> 296.200 WAC. <br /> � <br /> Signature Date <br />