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EL'EGTRICAL PERIVIIT AP'PLICA�����IC?�N ''����',��;�;��. <br />GTY OF EVERETT PERMIT SERVICES ,;; ,�,���1 ��;; <br />3200 CEDAR STREET. EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org _ ......... . ...................... <br />;";} � Y Uf- �VERETT <br />APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM �nc;inr:?r!r,GIPubIiC S8NiC5:� <br />�U�v�7 9t"' iJr 5c= <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />iv�o� 9"�' �� SC E�c <br />Mail Address City <br />Mail Address City <br />State2ip <br />State2ip <br />4--aa-o9 <br />�= 0 90 4-� � <br />(Yd'J'� <br />3yFl•7y�f3 <br />Phcne <br />Phone <br />C4asj <br />E/eat,v S l y Slv iuE �o� �4r- %3 e3e;Ic„u�. c�R/9Pov7 GS3 •%Oka <br />Electrical Coniractor Mail Address City State2ip Phone <br />Ec � c7's�Waa ►iK <br />Sta�e License Number <br />�roposed Use o( Building <br />Contracl Price of Work <br />Conlact Person (Plan Review) <br />e <br />Description o( Work to Be Done: i�Qb G�VY1�� A�lel Y�- �Cl�L2✓Yl��l'� <br />NOTE. WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i he�eby certily Ihaf 1 have read and exarnined this applicafion and kno�v fhe snme to be (nre and <br />r.orrect. All provisions o! laws and ordinances govem�ng this type ol work �vill be completed <br />�vlie(hcr speafied herein ornoL The granfing ol a pemuf does not resume (o give aufhontv to <br />violafr. or cancM Ihe provisions oI any o(her s(ate orlocaf law reguP(ing constnicfion or the <br />pr.Aormance oI r,unsfrucfinn. That I am authonzed by �he owner ol fbis property !o pedomi Ihe <br />�voik lor which applrca(fon is m��dr, and 1 r.omply wifh the Sf�ete Conhactors La�v 1827 RCL'✓ and <br />FEE <br />� `7 S ."�� � <br />