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�--- —r <br /> ` <br /> ELELTRI+CAL PERMIT APPLICATION <br /> CITY OF EVERETT PLRMIT �ERVICES <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I425-257-8810 - FAX 425-257-8857 -�,w�,w.everettwa.org <br /> APF'LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEfiIT 8 CREDI'f CARDS ARE NOT ACCEPTED <br /> �-'// I»�_«n�A � ��� <br /> PROJECTADDRESS <br /> ����: t�.�. 3���aa ���Lr��.tit ��,:; ��(02� yzS-�"►�� <br /> Owner Mail Address City S;ate/Zip Phone <br /> Tenant hlail Address City State.'Zip Phone <br /> _5y���� �eC����. ���UJ LC�S1 5� ���1J.�+U�.�7 �� R 96'2y � 4�s-3c�e-s��c� <br /> Elecirical Cont�actor Mail Aadress City State2ip Phone <br /> SuM�.;e�. o�1r��3 <br /> Stato Licecae Number Contract Price of`.Nork <br /> Proposed Use ot Building Contact Persen (Plan Revie��q <br /> Descriplion of Work to �e Done: r�t ��1�i� \v�"`��--�L <br /> I <br /> I <br /> I <br /> i NOTE. WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> � BE IN RACEWAYS, �iC OR AC CABLE. <br /> � <br /> � <br /> ', C�TY OF EVERETT LOCAL SALES TAX CO�E IS 1105 <br /> � i he�ebv r endy lhat I have read and ea�ammed this applicafion and kncw lhe same to Le true and <br /> � �orracG ,+u previsicns ol laws and ord�nances govemmg this type ol�vo�k wdl be comple(ed <br /> ,vnether spec;ned ne�em o�nct The yra�uiny ol a permr(dces not presune to give authonty to <br /> � noiate Ur carcel fhe prov�sions ol any ofher sfah?or local law regtllBting construction or fhe <br /> � peAormance �l.;ansvuction 7hat I am authenzed by fhe owner of fhis property to peAorm the <br /> � ,�r_rk 1or�v"�ch app6caficn is maoe a I comply wdh the Sfate Contrectors Law 18.27 RCW and <br /> � 296.200 WA <br /> � �� � - 1-� <br /> s�y .�_ �ate <br /> �lfJ'�01-�l <br /> ( <br />