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ELECTRICAL PERIViIT A�'PLICATION <br />CITY OF FVERETT F�RMIT SERVICES <br />3200 CEDAft STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — �r�ww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7�s2`�— �^v�� c����✓ 1,�� <br />PROJECT ADDRESS <br />Yr� yQ.�'i(JF6� <br />Owner <br />L�'���ri �� wFs <br />Z3/v /3o;,i A�'�r lN.'� C% <br />Mail Address (3CI�G� 13 �Zp2 City <br />li�a /—�/ <br />�lr// e�� <br />� %�Cr,� � <br />State2ip <br />_ysy_ <br />Phonc <br />,�09� l�i+;.,,.�r 7� 2��v�z4��ua� i✓.�� l�b��sr�- 1�/A 96�� <br />Tenant MaJ Address Cily Sfate/Zip Phone <br />Electrical CoMractor <br />t��iP�oGP9aG�"/� <br />Slale License Number <br />Mail Address <br />n� .sr �, � <br />DIV'i��� T�aarr ,S�'itcti �� �wo <br />Proposed Use o( Building <br />ary <br />f�i%l,' <br />Slale2ip <br />y2� _ �ZZ- yy� <br />Phone <br />�� <br />Contracl Price of Work <br />��RR�l7 !�A✓iS <br />Conlad Person (Plan Review) <br />Descriplion of Work lo Be Uone: -S��'—�' i� �/�/�T//''l � f� J.f� OU'iLL�i"S %�tJ yb'�✓ <br />i✓�L( � AJ)t� Sw�rCN Fo.� SllF'�9�%'� S;PACd' <br />tJOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BE IN RACFWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I herr,hy r.crtdy fhal l have rcad and examined this applica(iori <br />eorrecL All prowsions o/laws and ordinanr.es governmg fhis <br />u�heflier sper.dicc/ herein or noL Thc granfiny ol a permd doe <br />violale or cancel Om provisions o1 any olher slafe or local la�v <br />perfonnance ol cons6ucfion. T6af 1 anr aufhorized by Ihe o�vi <br />�vork (or which applica(ion is rnndc and ! comply �vifh (he Slah <br />296200 WAC. <br />and know Ihc same fo hr. true �nd <br />ype ol work will be complefed <br />�� not uesume to c�ive autliority fo <br />'egula(ing consliuclion or fhe <br />er ol Ihis propeily lo pedonn fbe <br />ConOt�cfors La�v 1 Q.27 RCW and <br />FEE <br />r��� � <br />� - D�� <br />��� <br />