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ELECTRICAL N�l�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�3_1 f 3 1�vc-�c.��' �J Av <br />PROJECT ADDRESS <br />Owner <br />A1���5 {-t <br />Tenant <br />� Ein� •—, <br />Eledrical Contreclor <br />Mail Address <br />l�t�1 �AJ2/�cs�; ,— <br />Mail Address <br />Lt-G `1'0 `�x i3� <br />Mail Addmss <br />M�L ��o i c�� <br />Slale License Number <br />�GSrAu('�ni � <br />Proposed Use of Building <br />� � 3 r�� <br />`/t��- -�� <br />City SlalelZip <br />City Slate2ip <br />y�,� �s►i wa ��� � <br />City SlalelZip <br />�� �� <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />Description of Work to Be Done: 1"��a ('� (�(� F—��J �1� � ,�, _ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVER[TT LOCAL SALES TAX CODE IS 3105 <br />I have read and examined this applicafion and know fhe same to be frue and <br />ns o/laws and ordinances goveming this type o(work will be completed <br />srein oL The gronting o/ a pemuf does nof presume to give authonry to <br />� pro s� so(anyolherstaleorlocallawregulatingconstrucfionwtho <br />:Iruc ion. TF�af 1 am authonzed 6y (he owner of fhis propedy to perform fhe <br />r.ati n i made and I comply with the State Contrac/ors Law 18.27 RCW and <br />FEE <br />q/'Z� /ro ��0 ��13% <br />Dale <br />Phone <br />Phone <br />2rz,s' <br />Phone <br />