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� <br />ELE�TRlCAL P�RMIT APPLICATIO�! <br />CITlr" OF EVERETT PERMIT SERVlCES <br />3200 Ci=DAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �. � y_�j 7 <br />APPLICATIONS ARE ACCEPTE� FROM 8 AM TO 4 PM C' ��0 6- o I6 <br />����oll ����i��� i �v,.�'�-f, �,_�� ���,+�""I i �l <br />PROJECT ADDRESS � <br />� <br />.r. �f��i'�>.�.`�.%� �..al.•1, <br />Mail Addross <br />Ci�y <br />Tenanl Mail Address Cily <br />! ( / <br />�/ei��-tee�ir 'L/rC('rl_ ��1��/li�r'.v�. uj,�ip l�.< <br />Eleclrical Conlractor Mail Address City <br />� / ll/�� � '� - <br />Stale License Number <br />Proposed Use of Buildinq <br />Descriplion a( Work to De Done: ���� < �--% <br />NOT[: WIRING IN NON-DWELLINGS IS RFQUIRED TO <br />DE IhJ RACEWAYS, (•;1C OR HC CABLE. <br />_� <br />L _..v. jV .� �7 <br />State/Zi� <br />Stale/Zip <br />C..�'i.. / o,� �id <br />Staie/Zip <br />Conlracl Price of Work <br />Contact Person (Plan Revizw) <br />CITY OF EVERE� LOCAL SALES TAX CODE IS 3i05 <br />1 hereby certily fhaf 1 have rend and examined this application and kno�v the same to be true and <br />correct. All provisions of laws ard o�dinances goveming fhis typa o( work will be completed <br />whefher spr,a(ied herein or noL The granting o/a perm�t does not presume to give aufhonty ro <br />violate orcanc�l fhe �rovisions oI any ofher state or local la�v regulatin� construchon or the <br />peiformance oI construc(ion. Tljaf 1 am authorized by fhe o�tiner o/ fhis property fo perferm the <br />work lor which ann��cafjen is i}rd�fe and I compl}� with the Stafe Confractors La�v 18.27 RCIN and <br />FEE <br />ll�ii�._n:-- <br />Phone <br />Phone <br />7�i �^�%�i'r <br />Phone <br />� C=%C'�ll l.�l(�; <br />