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� �. <br /> ELECTRICAL PERMl�' APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, 'NA 88201 <br /> 425-257-8810 - FAX 425-257-8857 -�n�ww.everettwa.arg <br /> APPLICATIONS ARE ACCEPSED FROM 8 AM TO 4 PM <br /> ?Gl � Ced�� � T �'� e.o.��a <br /> PROJECT ADDRESS <br /> 917��l <br /> Ou�?lN�� c'f /��T�,�/ Ne% Cl�..w�c� �y���Tl.'t,v.s <br /> OWner MellAddroea Clty SlelelZlp Phone <br /> y�S- Y�s-4 <br /> P�x J�;,,�,�,•,-��r c�sc nodr� CLiorJr,.�„�.S ��'t 97e.s sos• s+o> <br /> Tenent MallAddress City Stele2ip ��sy <br /> Elecl�icalCont�eclor MeilAddrecs City StelelZlp Phone <br /> Stale License Number Conlract Price of Work <br /> Proposed Uae o(Building Contact Person (Plen Review) <br /> Square Footage(If resldential new consiructlon, remodel or edditlon) <br /> Description o(Work ta Be Done: C� �Gl 1� .i�./ �n �!Q/Q'�d�? �i N C L.OG n.i �. <br /> r���r e r?r4/r1,tt,a L .Q,� ,o / C� ..� �o��� �ao�, <br /> ,S ✓ C <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have read and exemined fh(s applicafion end know fhe samo to be(rue e �d �I�4 � �Q� <br /> correcf. All piovfslons ollews end ordinances goveminQ this type ol work will be complefed (J [� <br /> whether speci�ed heieln ornot. Tho grenting o!a parm�f does nofp�esume fo give aufhonty fo <br /> vlolafe orcancel fhe provls(ons o/eny ofher stete or/ocallaw ragulefing construcflon or fhe <br /> peAormance o/constructian. Thet I am aufhorired by fhe owner ol fhlsp roperty fo pe�form fhe <br /> work/or whlch e plicet7on ls made end 1 comply wifh the Stafe Contrectors Lew 18.27 RCW and <br /> 296.200 WA ' <br /> .. ` �! <br /> Signeture Dale <br />