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ELECTRlCAL PEF�IVIIT APi�LICATION <br />CITY OF EVERF_TT PERMIT SERVICES <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 />`� c- 1 � � <br />���� <- l`'� f, ,,.� �.) `�� �� � •�et <br />PROJECT ADDRESS <br />a <br />�'�C�- `- C.`�f <br />fvlail Address <br />� �. � �' ��, � � � ,::�, <br />Tenanl Mail Address <br />�' � �r `��- <br />�/-� �.�:.-�,= �� (F, G�� � r �r � � �i �:-- -- <br />Eleclrical Conlractor ldall Add�ess <br />�c /I , � <br />� � 7/.?c' � <br />Slale License Number <br />Proposed Use a( Building <br />Descriplion o( Work lo Be Done: //r y.% �(• <br />City <br />Cily <br />�:,:.��...t _ <br />Ci�� <br />State/Zip <br />Slate/Zip <br />�r <br />S��Ic2ip <br />b--as-o7 <br />C—o7o6-iu) <br />:i���-' _i':�'>;Y�'+l j <br />Phone <br />Phone <br />�_� j�., �� � � , -; s. ycYC. <br />Phone <br />Cuntracl Price of 1Nor4�. <br />Conlact Person (Plan Revieer) <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 />1 hereby ceriily fhaf I ha��e read �vid examined this applrcafion and know the same to be true and <br />correct. All provisions olla�vs and ordinances governing this type ol work �a�ill be cornpfeted <br />whefher specilied herein or noL The granfing o/a pennd does nof resume fo give author�ty to <br />violatc or cancel Ihe p�ovisions ol any ofher state or local law reguPting construction or the <br />perforrnance o(constructron. Thaf I am authonzed by the owner o/this prcperty fo perfomi the <br />tvork Ior which applicatiQn is n'qde and I comply �vifh fhe State Coniracfors La�v 18.27 RCW and <br />296.200 IYA�._ _" / � <br />% �� � <br />�i, �;-� � <br />�---_. <br />����` r�. <br />FEE <br />��-��(� i�r) <br />