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� � ; �: � � � � � <br />� -. <br />�ITY OF EVERETI" PERMIi SERVtCES <br />3240 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� la J �r�ic�G�� y �UCr��� � `�l � l <br />PROJECT ADDRESS <br />Owner <br />T <br />Mail Address <br />Mail Address <br />City <br />City <br />State/Zip <br />; �, r� <br />State/Zip <br />Phone <br />Phone <br />.�,ur��l S�Jcual�Z��i Se�v/cef /N G /2Y3.3 /��y�1S Lak-e, i�u�/ %�Utrtil�t, GJl4 �1�� <br />Electrical Contractor Mail Address City State/Zip �O�j �l�l��� <br />5o�h�lss 8'I6� 9 <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: � � �" " � � �1 �� �� � � � <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 fS 3105 <br />� Do �� <br />Confract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certify that 1 have read and examined this application and know fhe same to be frue and <br />correct. Al! provisions of laws and ordinances governin� fhis type of work wil! be completed <br />whether specified herein or not. The granting of a perm�t does not presume fo give authority to <br />violafe or cance! fhe provisions of any other state or local law regulating construction or fhe <br />per(ormance of constiuction. That ! am aufhonzed by the owner of fhrs property to perform the <br />work for- wl�ich application is made and l comply wifh the State Confractors Law 18.27 RCW and <br />296.200 WAC. <br />��.�/,�� �- ��3.��� <br />FEE <br />� �,- ��� <br />� ( �� Z' O�� <br />