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� <br /> �v�����Gra - <br /> 03�� ! EL.ECTRICAL PERMIT APPLICATION <br /> �CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> L/��� C✓�r E;i2t�r.".c/ l��V/ <br /> PROJECT ADDRESS � <br /> py�gr�� MailAddress City SlalelZip Phone <br /> G��� - � ZG4. (, Z <br /> -}10�� f/25T ��G 5 Si,477Lr" WA �lS/3�� _�"�`"� <br /> Tenant Mail Address City Sla;elZip Phone /� I <br /> SUUiZ-Lk._ �</i�FL/G�IG4lT/Jr.� J ��✓AC �UU /. O/1•+,u�m�T<1o�0� �Q(� Ni�'/7r��/iia C1� -14 <br /> ElectriCal CUntfactof Mail Address City SlatelZip Phone <br /> 7/y s7�3 2.300 <br /> 5ou..z��H q9����3 SJfA/J_G,G�l 99sP� 3200' <br /> State License Number _ � Contract Price of Work <br /> �� - <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descnplion oF Work to Be Done: /C� �n�u V d C.� �1'�'�s /s n�i.��L�/S ;_U N �� <br /> ��l//1 [nN �T /' �'�1�1�1�z� fi,M-S Ljn.vTilmL,�2 ✓Ln�" [-�1��- a�-C�- `Z <br /> ��� r3x /� ��6�1 A 7 r 17 U n �"r C /C �Y'�•'�-( L�� - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceRify Ihat 1 have read and examined fhis application and know Ihe same to be frue and <br /> correct. All provisions ollaws and ordinances�oveming this typo ol work will be completed <br /> whether speci(ed herein or not. The gran(ing oI a permit does nof resume fo give aulhonfy to <br /> violate or cancel the provisions o(any others(ate orlocal luw reguP(ing consfruction or the <br /> peAonnance o(const�ucfion. That I am nulhorized by the owner ol this prt�perly to perlorm(he <br /> work Ior which applicafion is made and 1 comply wilh Ihe Slate Con(rac�ors Law 1827 RCW and ^G-� <br /> 296200 WAC. � / (1 <br /> ` /e�,� �%„��� ��z y�i � �� . <br /> Sig alure Oalc <br />