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ELECTRICAL �'ERIVIIi APPLICATfON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-3810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLIi�ql"IONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />%/V�' ; i I l 7�� C, fl �� 5 �� ����.2 �c i�� T�` `� <br />PROJECT ADDRESS <br />� <br />Tenant <br />, <br />t,t(.- <.�.< <br />t.tail Add«:�s <br />A1�il Address <br />tl: <br />cuy <br />ciP; <br />Stale/Zip <br />State/Zip <br />Phone <br />Phone <br />�3 <br />l-la«��w_..r E Ic.c �'✓i � � �1,.�-7H vc° 1� �Jl �E .....�W�.�.�� L. � .� %`�..�/`O �Zf� 3Jc�-`k'?!�. <br />Eleclrical Contraclor Mail Address City SlatelZip Phone <br />'� � i `l l� �'�l <br />State License Number <br />Proposed Use of Buildi +e; <br />Descriplion of Work to Be Done: �/`�2 � ��� ; . �. ^ -. <br />:!�TE: WIP.ING IN NON-DWELLINGS IS REQUIRED TO <br />QE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contracl Price o( Work <br />Contact Person (Plan Review) <br />I heraby ceAi(y tl�?f 1 have read and examined fhis ap��licaGon and kno�v the same to be Vue and <br />conec(. Aq piovisions o( la�vs and ordinances governing Ihis type of �rork will be completed <br />::�hefher specdied he�ein or nol. The granfing ol a pemut does not reswne fo give autnonty to <br />vic;ate or cancel the provisions o/any other state or local law reguPtint� const�uchon or the <br />neAormance o/ construct�on. ThaU n au(horized by tha owner ol fhis property (o perform the <br />�verk lor �vhich application � m C�d I cornply �sith fhe Sfafe Con6acfors La�e 18.27 RCW and <br />296.200 WAC. _T--�C <br />FEE <br />I�) � -- <br />� '--, � � <br />I�� �� ;� � � ' <br />�, � � <br />Dota ! � � <br />