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Feb. 21. 2014 12:45PM No, 3947 �'. 3 <br />� � <br />EL�CTRIGAL PERMIT APPLICATION <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVER�TT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 -- www.evereriwa.org <br />APPUCATIONS ARE ACC�PTED FROM 8 AM TO 4 PM <br />�(���,1���� l-�1�✓�, �✓�L�-�r I �'A � �'2�3 <br />PROJECr ADUR�SS <br />� ;�1� c�k <br />Own er <br />Tenant <br />Contracto r <br />r°il Addr ��' <br />Mail Address <br />���7 �������� <br />Mail ddress <br />�� �� ��� � <br />State LiCenSe Number <br />' C'" _ `�. <br />Proposed Use oF Building <br />City <br />City <br />City <br />�: i�'� �1� 3 �fZ����� vZ <br />State/Zip Phone <br />Sfate/Zip , 1_S �Sho��e �� � <br />'�"I� <br />� Ol�l � �Il�� ��,�i7� <br />State/zip �.R. Phpne <br />���G <br />Contract Price of Work <br />b�•N ���� <br />Contact Person (Plan Review) <br />��:. . , <br />Descrip�ion of Work to Be Done: �!�3�`�d�`�i �'V �� J��i �r l�i Tj W�"� l�(��� � <br />�-�%�P���' <br />NOTE: WIRINC IN NON-DWELLINGS IS REQUIRED Tp FEE <br />BE IN RACEWAYS, MC OR AC CABLE . ��� <br />GITY OF �VER�TT LOCAL SALES TAX COD� IS 3105 <br />1 hereby certify that / have read and examined this ap�lication and know fhe same to 6e true and ,, <br />correct. All provisions of lews and ordinances governrng this eype of work wll! be cornpleted �) � 1�� ,��� <br />whetherspeCified herein or not. The granting of a perm�t does not presume to give aufhority to {—1 <br />violate or cancel che provrsions of any othe� state or local law regcrlatrng constructron or the <br />performance of ConsfruCtiOn. That / am authorized by fhe owner of th�s property to per(orm tite <br />work fo� wh/ch appUcation is made and I comply wftti the Stete Con�ractors Law 18.27 RCW and <br />296.2oq WAC, <br />