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ELECTRIC�►L PERMIT APPLICATION <br />CITY ��f EVERETT PERMlT SEFc�JICES <br />3200 CEDAR STREET, EVERETi', WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��,��-� -�-'__ ��. _� C=- - ..._�._ ��_� <br />PROJECT ADDRESS <br />�'\... �'� W �`i, � R' '�\Z Z�..� r._�r._`..� �=� ��.'s :)-t'J� 2-`xc '�a i�- 6^�,} <br />Owner Maii Address City State/Zip Phone <br />i� <br />\- 1 3� � C�- ' <br />Tenant Mail Address City <br />Contrector <br />�F� :'.. , � .._`� \ ='� `�.� c. , � <br />Slate License Number <br />Mail Address <br />�.-�.� - � �. ( <br />Proposed Use af Building <br />City <br />u <br />Slate/2ip <br />Slale'Zip <br />1� - <br />Conlracl Price of Work <br />��,,,.� �., .� � <br />Contacl Person (Plan Review) <br />�escriplion af Work la Be Done: �� --.- � �-. �' � �,.,. ��a�_ ��-+» �_ �.� , \ ._. � <br />_o_,.._ - �,n <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceAi/y that I have read and examined fhis application and know the same to be true and <br />correct. All provisions of laws and ordinances govern�ng fhis type oI wo�k �vill be compleied <br />whether specilied herein or noL The granfin� ol a K�rmd does not r��sume to give authority fu <br />violate or cance� fhe provisions o( any ofher state or foca/ la�v re�uPting construcfron er the <br />performance o/consWction. That 1 am aufhorized by fhe owner o/lhis property to perfomi the <br />work �or which applicafion is made and f comply with fhe Sfate Contrac(ors La�v 1827 RCW and <br />29E.200 WAC. <br />1 <br />� � ' i, <br />� �� ��v <br />FEE <br />����Z7 <br />Phone <br />Phone <br />