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_ { <br /> E�ECTRIGAL PERMIT A�'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �� _� �_� 7 <br /> 425-257-8810 - FAX 425-257-8857—www evereltwa.org q <br /> APPLICATIONS ARE ACGEPTED FROM 8 AM TO 4 PM C`O7I D-0 /� <br /> ��t 1 `� Cc>��� � f�x'_ <br /> PROJECT ADDRESS <br /> ��t �cJs .�s� .� l DEO �t�C ID����. �,4-l-E,� i,�l/� `�d 1,z5" <br /> Owner Mail Address Clry Slate2ip Phone <br /> � � �7 /F'1� / `� �.O��� /y 1• Ct.t'.f�i I � �/1 �g/` 0 � <br /> Tenant MailAddress City SIale2ip Phone <br /> �?� /U�o.q sj <<i 1 ✓yS�r, ti 7`l� Eli�c�e�.�+ Qa�� L.�f f !,c(� %S�D� <br /> Electrical CoNractor Mail Address Gty State2ip y� � Phone <br /> C s ���ssr <br /> L��2R1'iv'��$ ��� � 15G� � <br /> Slate License Number Conlracf Price of Work <br /> � l_O Mn.ie�c i:a � CC+✓��� k� 6 .. ' � <br /> Proposed Use o(Building Conlact erson (Plan Review) <br /> Description oi N.brk to 8e Donc: �� �I s �a� � C��l il E C� �� pnw�y� a� � ' "�— <br /> p� ;�S-l� l ( <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 3705 <br /> 1 here6y certily that 1 have read and examined this application and kno�v the snme lo be true and <br /> conecL All provisions ollaws and ordinances goveriung thrs type ol work will be cornpleted <br /> �vhefherspr.ciGed herein ornoL The gmnfing ol a pcnmf does not �resume to�ive aufhonty;o <br /> violate or cancel the provisions o/any ofher state or local law regulating constn�c6on or ll�e <br /> peAonnance ol canshuct�on. That 1 mn aufhonzed by the owner o/(his propedy to perfonn Ihe <br /> �t�ork/or which applicahon is made and 1 comply with the Sfafe Contracto�s Law 18.27 RCW and <br /> 296.200 WAG� , <br /> /��� / `�� / / � 8 <br /> signa�e oata �C; 1 �G -GQ� <br />