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� <br />ELECTRICAL I'ERMIT APp�,ICAT'ION <br />CITY OF �VERET3 PEP.MIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 987.U1 <br />425-257-8810 - FAX 425-257-8857 – www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.5 ,' / �--- 1 <br />���� =3 ��t��i: 4ti� '- � 1� � � <br />PROJCCT ADDRF.SS <br />Cwner <br />Tenant <br />�-i0�1,�%1�� �� <br />M1;1ail address <br />hdai! Address <br />7 _ 1-7-�� � <br />�oh o�-( <br />— - y'-7 ��'ry�- o �'ou <br />Cily Stale2ip Phone <br />Cily <br />�i�I,�_� i Y ��-L(, l,fi�� L�i� /N C <br />c_' , <br />Eleclrical Contracl� Mail Address City <br />iLrCe�,f�, j= LC,;, � 1�':) <br />Stale License Number <br />`� Y�i`L <br />Proposed Use of Building <br />State/Zip <br />Slale:Zlp <br />Contract Pricc of Work <br />Contacl Person (Plan Review) <br />Phone <br />Phone <br />Description of Work tc Be Done: /�� ��% _� !.h -'— � �+ /� }`� �' �� V _ <br />�OTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEN.�AYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 bereby certily thaf 1 have read and exnrnined fhis application and kno�r (he same to be true and <br />correct All provisions ollaws and ordinances c�overning this type of �rrrk will be completed <br />whether specdied herein or noL The 9ranting ol a permrt does nof resurne to �ive authoriry to <br />violale or cancel the provisions ol any other state or/oca! law raguPting construcfion or tha <br />performance o/cons(rucLon. That I am aufhorized by the owner ol fhis property fo pedorm the <br />�voik for �vhich application is made and 1 comply with fhe Slate Contractors Law 18 27 RCW and <br />29fi.200 W4C. <br />�� <br />���������t � <br />��� <br />�EE <br />c� � <br />5 =� — <br />�� <br />. -,_�Sd <br />��� : � <br />