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ELECTRIC�►L PEFtMIT APPLICATION <br />CITY OF EVrRETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 3 /O `�� <br />425-257-8810 - FAX 425-257-8857 - �vww.everettwa.org � I/G 3- � U�) <br />�v <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO �3 RM <br />I 6 Nl��� sL�� sf. <br />PROJECT ADDRESS <br />H�-H tiia�l�- �(� M��s�� 5-� L�����- <br />Ovmer Mail Address Ci�y <br />N P�H Mav�t- 16 Nl��r.1,13�� s�- �i/ei��t- <br />Tenanl Mail Adtlress Cily <br />Energy Management Services 15008 35th Ave. W. #C Lynnwood <br />ElectricalContractor MailAddress City <br />ENERGMS913B6 <br />State License Number <br />Proposed Use of Building <br />��- <br />Slate/Zip <br />L��� <br />S;a�e/Zip <br />1h'.4 98087 <br />FlalelZip <br />Conirect Pnce of Work <br />Phane <br />9�S'.� � <br />Phane <br />425-741-3526 <br />Phone <br />Dave Davis (425) 778-27981 <br />Contact Person (Plan Review) <br />Descriplion of Work to Be Done: ASHC (�% �%°,C7 yl�"�i ( /�� j/p1 �,f � <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I herr,Ly „crtily fhaf I havo read and examined (his application and know fhe same to be true and <br />correcL Al/ provisions nllaws and ordinances govermng fhis type ol work will be complefed <br />whefhe� specihed herein or not The granfing ol a permd does not resume fo give authonty (o <br />violale or cancel fhe provisions ol any other sfate or local law reguPting :on5fiucfion or (he <br />peAormance ol construcfron. Thaf 1 om au(horized by fhe owner of this property fo per/orm the <br />work lor which aunlica�ion is made and I complV with thc Stalc Contractors Law 18.27 RCW and <br />FEE <br />���C>�'G1'-1l'� <br />