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ELECTRlCAL PERIUIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S�fREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />. <br />�.-� � � �ij %t N.r: t=tJcf'.�%f �ll{1 ,��(, :U <br />PROJECT ADDRESS y <br />/, j. <br />Owner <br />Tenanl <br />pllpt_�! 'i.i: 17, i.j <-�. �.), <br />Mail Address <br />Mail AAdress <br />ACG SP�:F� <br />Eleclrical Contraclor <br />�tYi� LLC • <br />Idail Address <br />/1�/.5�:�:.�-��il a-��.�r ; <br />Slate License Number <br />Proposed Use of Building <br />Cily <br />City <br />��� <br />c�ry <br />t <br />inl�, . `�f. <br />State/Zip <br />Stale/Zip <br />-. �.�t _ �Eti� <br />3 _S�ie <br />C—cao 3-o`a-� <br />7_<>� y7!-'Z; Z- d931�t <br />'%%� 1'�'t1,�i�'�� <br />Sl��e/Zip <br />i/, <br />�� •%,ZOU <br />� Contracl�k <br />Conlacl Person (Plan Reviev,} <br />Phone <br />Phona <br />�4ZS) <br />•�G'r_.-`ils j <br />Phone <br />Doscription of Wor� to 6� Done: Pt b�IL�t S 5' NI�'La-i� �� �/��11 iW �+� !`� �'U-'!�/� <br />NOT[: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CA81.E. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 r.�reby ceitily Uial l liave read and examined Uiis ap��lic <br />cerrecl All prov�sions o/la�vs and ordinances govemtnc� <br />r,hefhe� speci(ied herein or nof. The grantin� ol a permtl <br />.�clate or cancel the provisions olany other state or locai <br />,r,?rformance ol construcfion. Thaf I arn auf iorized by thc <br />�ro�k lor which applicalion is made and 1 c ipip �vifh th� <br />296.200 WAC. <br />���i� ,��, d�a�� �� — <br />end kno�v the same to be frue nnd <br />✓pe o' work will Ue cornplefed <br />nof presume fo c�ive authcnty to <br />eguio�r.�n construchon or fho <br />er ol this property to perlonn the <br />Centractors LAw 18.27 RCW and <br />FEE <br />