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� <br /> , <br /> ELECTRICA.L �ERMIT APPLICATION <br /> CITY OF EVEF�ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �.�'05 Cfif�2G�G.1'� rwi�- �'' <br /> PROJECT ADDRESS <br /> r�RL-C[S�dN SS'dS ZS 3 <br /> CdC_LfS(�d/L E✓E2G.2�F_ti �,;�9;' El/E.t�%� /,[J/�- � � 67�-y2 S' <br /> Ownef Mail Address City SlafelZip Phone <br /> /�RrG/S�oN $�S-� S— �`� 1- S— <br /> C oL�tS/o.v E�l•.eG�e�C.N 4.�aY EU"���' C�/9�- 357- 32/ l <br /> — . <br /> T�nant Mail Address City StatelZip Phone <br /> �r, � ���1�T//Vi-� S'c�c� �EfYI� 3 6 �' <br /> CUVL//L�G�c�lr'sT�/C f'//1-//L S( /L/f�/U� (�� l�Z 7� 79�r- 73o e <br /> Electrical Contraclof Mail Address Cily Slate/Zip Phone <br /> !/ C� S�� <br /> G ✓ /�/ / /!— ��� / / V����� �� ( �� �-d /"n/2 nI T <br /> State License Number Conlract Price of Work <br /> .�D,��� S✓id� �1 F����' <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Dascriplion o(Work to Ee Done: �NS �/��-�- ( 7 / � J� �7 � f �� ��Z � <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 certily fhaf I have read and examined this application and kno�v the s�:me fo 6e true and <br /> correcL All provisions of/aws and ordinances govarning this lype ol work�t��be cornp/efed <br /> whether specified heiein or noL The grantin�oI a pernut does nof resume to give authonty to <br /> violate or cancel the provisiens o(any�Iher stafe or local law rec�uPfing construction or Ihe <br /> periormance o/construcfion. That 1 am aulhorized by fhe o�vner c/fhis praperty to peAomi fhe <br /> �vork lor which applicalion is made and I comply with the Stafe Contracfors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> �� �,. ,,.s _ /� /�7- v� <br /> �ture � Dale <br /> �W CI —�C � <br />