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i' <br /> y <br /> \ <br /> ELECTRICAL Pf RMIT APPLICATION <br /> CITY OF EVERET� PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857 —www.everettwa.org �Z , S._.()8 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � �I 2 `�� <br /> � <br /> �� � �� �L' � �`.�i ����, ��'� � � <br /> PROJECTADDRESS <br /> �--C�.ut-c� � ' �'— � I �� �I � ,� 3 ` -��, �'`'� ���� ��'1°�`js�'��I � �,.'�- �{-is- 34y -u� -o <br /> Ownor Mall Addross City Slale'Zip Phone <br /> `_�.t(�rV� ��I V M � I l� �'V �l'��7 1 .M J �'1 �C= C_UC- 1�Z-1 ` �[ ` <br /> Tenanl Mall Addrass Gly Stale/Zip Phone <br /> (�111�L 5 N �o N 514 ti'i �1� �� i�6� � �S .�a�u <br /> „ 51� s�' z� �.�'��T (� r� �'8z� <br /> , <br /> [lectrical Contraclor htall Address Clly StalciZip Phone <br /> M ltiL�� N �o� Sl�-,ti � � '3So� W <br /> Slale Liconso Nmnbr.r Contract Prica ol Work <br /> �C�C 1�1 1 �'�! (� �—�— �E'�;.�. '�11t K <br /> Proposed Use o�Auilding Conlacl Person (Plan Reaiew� <br /> Description of Work to �o Done: _ � 'v `�T n �� ��� � �2 L' �� � N �y � �— N �U (U <br /> 1 ._�_ 1T � r`� oN �Ac..c=�ti�Au � A�-- � �;�n ►vN��.— i--���rzf� <br /> —_��_-r c���7 w r� �..L . <br /> NOTE WIRING IN NON-DWELLINGS IS RE�UIRED TO F[E <br /> B[ IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> 1 hereby c��rtily O�af 1 ha���icad nnA exnminoA fhis applicdtion and know fho cAi��p fo be Iruo end /i �.�,�'� "? �� � <br /> conocl. All pro�asions o!/a�ss end ordurmices govemu�g this typo ol wurk wlll bo complefed `� <br /> whefher spociGed her��in or noL The p�nnfinp ol e pArmR Aoes nof/�resume fo give euthonty ta <br /> violafe o�cnn�el fhe`�ro��isions ol eny ofh�r stnto a locnl law re�7u ating construchon or Iho <br /> perfonnance o!conslnicfion. Thaf 1 em no'honzeA by fhe owno�o/this propetly fo paAorm fho <br /> work!or which npphcntion is niedc anC I caao!y wlth fho Srofe Contrec(ors Law 18.27 RCW enA <br /> 296.200 N'AC. <br /> ! ,�� f(,- l� .. `--� _.�-�- -� - ���/ S /� � <br /> �-Signat Uale 1 <br /> �--- <br />