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� `� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 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 /> ���.31 LO��JU �L'�- <br /> PROJECT ADDRESS <br /> ���idOCl�riV� �(r. `%�S— <br /> T�ett'r"`�e'rl /�t%vllc,:, l`��tfl /v�L ��V�k'c,-i)uV"t1%l /�cl �.�c; � W�l y,f'07L 74,r�-,�25 <br /> Owner Mall Address Ciry Slate2ip Phone <br /> Tenant Mail Address Clry Slale/Zip Phone <br /> 7,�j� — <br /> (rvv�c.lc'��f- Flecll�rc- �riC• /�0('ute .��.d.��� /�e�lfriyi I�V.4� �3505<Y L•�3l-775ci <br /> EleclncalContractor MallAddress City StatelZip Phone <br /> ��l_�DU( � 1 �(%�L' ;1, �' .21G� GG% <br /> State License Number Contract Pnce of Work <br /> :��/���� ,#c'.ru�' — <br /> Proposed Use of Euilding Contact Person (Plan Re�:lew) <br /> �"7 . L� C�1/�Y <br /> Descnption ot Work to Be Done: �u'J`1'1 p[��zi�'r,/ /'6�Lt�C�" I G��� � ��e`�t-. <br /> � � <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I horeby ceRily that I havo read and examined fhis application and know the samo to be true and <br /> correcl. All provisions ollaws and ordinances govomrng thrs typo o!work will be completed <br /> whefher specilied herein or noL Tho granting o/a pemuf does no�p rasumo to grve authonty to <br /> violato or cancel fhe provisions ol any other state or local laa�regulaling conshuction or the <br /> perfonnance ol construction. Thaf 1 am authonzed by tho o�vner ollhis property to pedorm Ihe <br /> work!or which app6ca(ion is mado and I compty with tho Slate Confractors Law 18.27 RCW and <br /> 296200 WAC. <br /> � 5g A/1 � � {../W'C/ o7e� I ' �U r7 J/7'GU.� <br /> r L� <br />