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ELECTRIC/�L PERe1111T APPLICATION <br />CITY OF EVERETT PERMIT SERVICCS <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�l ; <br />l �c i 'd. <br />PROJECT ADDRESS <br />�' , c C� i_��. j;"'�; C. � <br />�. < <br />R—��"p% <br />L D 708-1�� <br />�.i„�' . _. ��1�� � ��.5f,�c� �e<��'�. (J G..��( �T �1�t1 ��Z�� ����0;��-_ <br />Owner � Mail Adtlress City SlatelZip Phone <br />Tenant <br />A7ail Address <br />� � ��.% �'/��/��� �) ��1: i- <br />�-r�..���_ .,� �i <br />Electrical Contractor Mail Address <br />�? f �`/ f�`"'� <br />Slale License Number <br />/ <br />��� ,.o L � �„ , , <br />Proposed Use o( Building <br />Cily <br />:,.�: � .. �� :. G <br />City <br />i <br />Description of Work to Be Done: �'��- % � «- ��� �� ' ` - /�"` � �� " <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />State/Zip <br />G�.:. %'3�`I�' (�, <br />Slale.�Zip <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />1 herebvi ceifily fhat I have read and examined this applica!ion and kno�v tha same to be tn�e and <br />correcl All provisions o/laws and ordinances goveming this type o(work �vill be complefed <br />�vhether spea(ied herain ornoL The granting o( a perrnd does not presume to give aufhority to <br />v�olale or cancel the provisions olany ofher state or local law regulating construcGon or fhe <br />peiformance ol construc6on. That I arn authorized by ihe owner ol this properly to perlorm the <br />�vork lor �vhich appli�tion is r iade and 1 comply �vifh Ihe Sfate Contrac(ors La�v 1827 RCW and <br />296 200 WAC <br />% <br />�, /-�� — __--�_ c�/i`/� c��� — <br />� <br />FEE <br />rG7c. � �( <br />c <br />Phone <br />3jc Jt iy <br />Phone <br />