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ELECTRICAL PERMIT APPLICATION <br />C17Y 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 S AM TO 4 PM <br />�3lD �ld�f ST EvPre;�. u�a 9Ra�l <br />PROJECT ADURESS <br />C- ��G(1111f PYfrv'oh� �/D�� ��G��� �;Tt�n j?r. Qo;�'ipi� a//� 9$//�a <br />Owner Mail Address Gly State/Zip Phone <br />Tenanl <br />Electrical GonUaclor <br />Slate License Number <br />Mail Addmss <br />Mail Address <br />-1r1VP17n�,er� PFo�Prry ��Pvr%� I <br />Proposed Use o( Build,� �y <br />C�ry <br />City <br />Stafe/Zip <br />Stale/Zip <br />Contracl Price of Work <br />Conlact Person (Plan Revicw) <br />Phone <br />9T7iLa <br />Description of Work to Be Done: �� SP�i;�� io ��fc.r ��trt�uW �� rh .n ci� Si��u � Con�J;:� <br />31 YP'J�GCP �a�.J iN mQiPr �4SP �I, 00 M�w-, w.Aier rF�Iacpr-�p.�f � Frf� �ub �/ rvoc- <br />J <br />6� �JSP Ionf�rid�f �o S�i�- n.,nP�l ��_��Pck �.�'rrt 8� �0.�1P� f��R�i'f" � n�lovF Sdi, �y�p� <br />10) i�1F9yer C;rc�;iS ��� $Moke �e�P�iorS �hSiFll I�) l�o-�P �p �vavnd ui <br />/NDTE WIRING IN NON-DWrFLLINGS IS�REQU RED TO }� �"'uler I�Pu-}Pr <br />B� IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 heieby certily fhat 1 have �ead and examined this applicutien and know the same to 6e Vue and <br />cnnect. All provisions olla�vs and ordinances goverrur,g th�s type o/ u�ork will be complefed <br />whether speci6ed herein or noL The granting o(a pernut does not resurne to give aulhon;y fo <br />violate or cancel (he provisions ol any other sfate cr local law reguPfing conslruchon or the <br />wo�k (or vh ch a��licat or�'s n a'de and�l cono �zed b the Sfate CenUactors� artw 18.27 RC�W and <br />296200 WAC. P� p y <br />'�/j� � <br />:� �:�,..,- 3 �� /o <br />�_t e � �— <br />� <br />�eo�ej �3� ��/i Slevn,� <br />FEE <br />