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ELEGTRICAL PERMIT �►�PLICATIaN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WF, 98201 <br />425-257-8810 - FAX 425-257-8a57 — wv��w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Ph1 <br />� .: i I <� ' '_ ,� �� ,— ' ' <br />I-� �f�a�' <br />�..-d��--'�� <br />PROJECT ADDRESS <br /><, �_.. ty,�.C��.p <br />.. � (� /� <br />.,�.. �fZs�-7bb�-�7c <br />�i�=N1_ YYIii�L-✓� �1(:�i'��-n.�(i� L'l'i't�0���;�Li.� WA %.�'O%Z <br />Owner Mail Address Cily StatelZip Phone <br />Tenanl <br />Mail Address <br />Electrical Contraclor Mail AAdress <br />Stale License Number <br />/i�L'J_>/IL' /'�`C'h1L I�C'aiq��N�,-.il <br />Proposed Use ot Building <br />Cit�, <br />Cily <br />StatelZip <br />Slale/Zip <br />Contracl Price of 19'ork <br />Conlact Person (Plan Review) <br />Phoi.e <br />Phone <br />�escription o( Work lo Be Done: �'�"'�P�'r /�; �7 �ti ,,/n�..v�� F�o'�»t P67J�;>m-f 7p M�vF, /�Y[ci , <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhat 1 have read and examined this application and know the same fu be Uue and <br />correcL All provisions o(la�vs and ordinances govemrn� th�s type o(work will be complefed <br />�vhether specilied herein or noL The granting o( a perrnd does not presume to give authonty to <br />violate or cancel fhe provisions o( arry other sfate or 1oc211aw regulafrng construcfion or fhe <br />perlomiance of consfruc6on. That 1 am authonzed by the o�rner o/thrs property (o perlorm the <br />�vork lor which applicafion is made� and I comply wifh Cie St�fe Confractors Laiv 18.27 RCIN and <br />29fi.200 WAC. <br />C'; / = `/ /' . <br />FEE <br />�U��CI � � J C) <br />. .,. .:rrm .. . . . - T... _. � . . � . . - . <br />