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ELECTRICAL PERIl�IIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�" i / / - <br />� � �C'�f J1 �� %� �'I, I�I� '�_.�% _ <br />PROJECT ADDRESS / <br />.' <br />� /'i7 �i/ �� C� `� ito � ^•rc���rh !-Y��i'.- Yt Lc�t . <br />pwnet hlail AUdress Ciry SlatefLp Phone <br />Tenant <br />Mail Address <br />Contraclo� MailAddress <br />City <br />ti _ i i� . �,-= �! <br />Ci�y <br />l'ii�(—�/1//�.5 %ln 5 D �7' lL�/�',7/0�' <br />State License Number <br />. � /�. -, r,� ., . t � / <br />Proposed U e of Building <br />State/Zip Phone <br />Yh'��'=. <br />Slate/Zip Phone <br />Z. t:; -�7C•" "co.' i <br />'�/� DDr� .-c <br />Contract Price of Work <br />f�r,✓ /�v .t'ri <br />Contacl Peisen (Plan Review) <br />Descnption of Work to Be Done: ��%� � iii t/c ti' %c N Xi �> /'il.• /�%al��-, <br />.i� f 7��» /'�i c J�G ��f �� %�r�:�/c'� .f'M r�.-.n.� .✓JJ��-tJ � <br />n��r/i �i, -,� �• - /',�,. �;�;..,r,- iF:•� <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 9105 <br />1 hereby cmLly fhat I have read and ezanuned fhis applicafion and kno�v fhe sarne fo be f�ue and <br />correct All piovisions o/ laws and ordmances govemmg fhis type o/ �vork �tall be complefed <br />�vhether speci/ied herein or nof The granling o/ a perrnd does nof resume to 9ive authonty („ <br />malafe or cancel Ihe provisions ol any olher sfate or local lar. reguP(ing consfnfction or fhe <br />perlom�ance o/ consfn�ction Thaf I, m aulhcnmd by fhe on�ner o/ Ihis p�opeAy fo pedomi fhe <br />work lor �vhich appOca6on is made and I compty n,th the Sfole Confracfors Ww 18 2i RCW and <br />296 °OO WAC. <br />�� � i <br />� s' -�i' "(� J <br />i9nature Dale <br />IFEE <br />�a7U�n-lG� <br />