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EfLECTRIC.AL PERNIIT APPLICAT{ON <br />CITY OF EVERETT PERMlT SER1/ICES <br />3200 CEDAR STRECT, EVERETT, WA 98201 <br />425-257-8810 - f-'AX 425-257-3857 — wv✓w.everettwa.org <br />APf��ICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM - DEBIT 8. CREDIT CARDS ARE NOT AGCEPTE� <br />PROJECT ADDRESS <br />O�mer <br />Tenant <br />5C(n <br />Electncal Contraelor <br />Mail Address <br />M31� Addre95 <br />1c. �� . P <br />Mail Adtlres5 <br />i��S�H �LR g 3 QT <br />State Ucense Numb,r <br />�.�� C �.��� � <br />Propcsed Use of Buildinp <br />�A� �t��l yz� 303 �Ia <br />City S1alelZlp <br />Ciry SwtclZip <br />�S� V� c�tSi V,�} � X G5�$ �I LS3Q7 <br />GN SlateZp <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: '� ��C�C..-1 �-Y�� f Q <br />NOTE: WIRING IN NOP1-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />Phono <br />Phone <br />71e� <br />Phono <br />( hereby cedify lhUt 1 have roao and exnmined lhis applicafion and know the same to be ttue and T I r., � <br />correct. Al! provisions ollaws and ordinances govemmg thts type o/ wo�k will be completed j— 1� � v—�(� <br />whe4'�erspecified horein or naL The granting uf a pe;md does not presume to c�rve outhonly to <br />vio/ote or cance! the provisions of an}� other stato or/ocal lew reguleting consVuclfen or the <br />pedormence of constn�clion. Thaf I am aufhoiized by the ownar ollhis property to pedorm the <br />ttrork Ior which applrcation is made and 1 comply wilh the State Contscfors La�v i8.27 RCW ond <br />29fi.200 WAC. <br />ID-�9-� <br />� a6cd LL69LL£SZV =�I ���a�,3 y�soB 1JN00�O1 UOZ 6! 1�0 <br />