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ELECTRICAL PER�UIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />'� I rj S(� T�� P L 5�-J <br />PROJECT ADDRESS <br />LffiK��/�N0 �'�Gr�CS <br />Owner Mail Address City Slate2ip Phone <br />Tenanl Mail Address Cily Stale2ip Phone <br />�lZ�� 3o'd 5�5`j <br />��r�M�1C � oU o I� �- � i.<» ZG,ISI'S1" nl �`"��"qrl�..��v� wfi o,v,"1..��'i- <br />Electrical Conlrar,tor Mail Address City State2ip Phone <br />M r�,�-� c �e �1-ru-� � <br />State License Number <br />S.I' R <br />Proposed Use of Building <br />Descriplion of Work lo Be Done: ���C /J �� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETI' LOCAL SALES TAX CODE IS 3105 <br />s.r.2 <br />SQi.�u <br />Contract Price of Work <br />Contact Person (Plan Review) <br />^� r� <br />1 hereby certily fhat 1 have read and examined this application and know the same to be true and <br />correc(. Af/ prov;sions o( laws and ordirances governm� this fype oI work will be completed <br />whether speafied heiein or noL The grantin� of a permrt does nof presume to give authonty to <br />violate or cancel the provisions ol any o(her sfate or local law regulating construction or the <br />pe�lormance ol cons(rudion. That 1 am authorized by the owner o/ this property to peAorm the <br />worklor which applica(ion is made and I comply wilh the State Confracfors Law 18.27 RCW and <br />296.200 WAC. <br />N „ " � _ __ <br />FEE <br />