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� <br />r� <br />�LECT�ICAL P�RMIT,�PPL�+CATtON <br />CITY �F EWERETT PE�fl►�1T SERVI��S <br />3200 CEDAR STREET, F\/ERETT, WA 98201 <br />425�?_57-8$10 - �'AX 425-257�8857 — v,,ww,everettwa.org <br />_ � <br />F'RO,IECT AADRESS <br />Gwmer <br />T�nant <br />Electrical Contractor <br />�P��rcqTroNS A�R� ACc�PT�D FR01� 8 AM TO 4 PM <br />Mail Atldress <br />Mai! Address <br />M�if Address <br />�. <br />5taie Lir.ense Numher <br />` )� <br />Proposed Use of Building ' •—� <br />Description of wark t� F3e Done: <br />NOTE: WIRING IN fVON-DW�LLINGS IS REqUIR�D TO <br />►�� �N RACEVIIAYS, MC OR AC CABLE , <br />city <br />5tafe/�ip <br />st�ce�z�� <br />Phone <br />Phone <br />��� ��. .�z��� c� �,���, <br />C��y St�teJZip � �1,�, , � � � • Phono <br />� �J� ��i <br />Contrack Prica of Work <br />,� <br />Contact Person (Plan Rovieav) <br />CdTY OF EVERE7T �OCAL, SAI�ES TAX COpE IS 3105 <br />i hereby ceriffy �ha( l l��ue read �nd exernined thrs app/lc�tion ar�d know th� ssme to be truQ and <br />correct. All provisions o� /a�vs and o�,nanCes govorn�ng thfs fype of work wilf 6e comp�etea <br />whether sp�ef�ied h�r�;n or not. The grenting of a j��,y��� ao�s no� p�Sume to give authorlty to <br />v�olate or cance/ fhe provlsfpns of any atl�er sfate or loca! law regulafing corrstructr'on or tho <br />oerformance o�'cons�rucfion. That l�m authorrz�d by fhe owner of this properfy to perf'orm the <br />Wo for wh�ch a/�plrcetron is macle and ! comply with �1�� Sfate Confract�rs Lativ �8.27 ��w�n� <br />, � 6. . 0 VVAC. <br />I <br />�� <br />F�� <br />ro � vd <br />�.(�/�._1�� <br />