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-� - <br /> ELECTRICAL PERMIT ,4PPLICATION <br /> CITY OF EVERETT PERMIT :�ERVICES `� <br /> 3200 CEDAR STREET, EVERETT, W��98201 �� � � �d <br /> 425-257-8810 - FAX 425-257-8857-www.iwerettwa.org ��g/Q--ZI�j} <br /> APPLICATIONS ARE ACCE�'fED FROM 8 AM TO 4 PM <br /> .y ���' L �o/c�f / <br /> PROJECT ADDRESS <br /> � �; b�x �5 �s' r�.-.vr•r�..,a 98� 5��s-3Jo 7�_�_ <br /> Ow�Cf 61aii Address City S�ale2ip Phone <br /> Sc--^v_. <br /> Tenant htail Address City State2ip Phone <br /> S<.ti-t_ <br /> [Ieclricai Conlraclor Mail Address City Slate/Zip Phone <br /> f>��= <br /> State License Number CoNract PCce of Work <br /> c �l/w I`.�k L.p,..,k.' <br /> Proposed Use ol Ouilding Con�acl Person (Plan Review) <br /> Descriplion of Work to De Donc: =i,..• �-/i ,<-.; J `�vys f.-.- Yi d sy �f TL . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> B[ IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ccrtily thaf I hn��e read anA examined Ihis applicafion and know the same to 6e true and <br /> conecL All piovisions o/laws�nd ordinances c�overmng Ilus fype ol wo�k will be compfefed � � ., � � - C'�((\ <br /> whether speci6eAherein or not Tlre c�ranfing ol a pormd does not presunm fo�i�e ntdhority fo �_ L� <br /> violate or cancM fhe I�rovisions o(any other stale orlocal law regu/ating construcfion or ehe <br /> per/onnance oI const�uction. That I�am authonzed by!he owner o!fhis property(o perfomi!he <br /> work lor whid�applrcafion is rnade and I comply�vifh fho Sfate Conlradors Law 08.27 RCW and <br /> 296.200 W.4C. <br /> �� � r� � <br /> --- -�i��✓.� �d ,y. _,rY. <br /> �-SipnaWrU/ Uatc � <br />� — — <br />