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ELECTRICAL PERIIIIIT APF'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, FVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -wti+nv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� ..D�— <br /> C- ��D <br /> �/o/Z �� -i-� <br /> PROJECT ADDRESS <br /> /�— J��JGF' r�;�f' S�l/Z / 5 <br /> , /, <br /> ' �_ �� Gfi��BZD/ 25�l�6.Zz <br /> Owner Maii Address City S:ate�Zip Phone <br /> ;�iD GLbC� 4�G?�-�X�- <br /> Tenant Mail Addmss Ciry State2ip Phone <br /> �l , ;f,'�,u� 31�9�J���al��� /'d�9��� zsz��� <br /> Electncal Contrector Mail Address c�ty State/Zip Phone <br /> 7�� �l /`„2LolIJ �5 . �o <br /> State License Number Contract Price ot Work <br /> /'Y.L.L//G <br /> Pro,osed Use of�uilding Contacl Person (Plan Review) <br /> Description o(Work to Be Done: �./ -��-'-�'^- �t�����.,,�'���"� �'�9�"� <br /> f f'�,��G�,� .�'�- • -�--- <br /> �.., o .Q,6'/ia i..l JflltGs .��uz �� <br /> .t1d �?,l�a-- — <br /> 7� <br /> NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE �/f�s <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I herebvi certdy Ihat 1 have reod and examined Gris application and kno�r[he same fo be frue and <br /> conecf: All provisions o(la�+�s and ordinances govemin,q this type of work n•ill Ge complefed <br /> ��;hether speciGed herein or noG The granting ol a pernut does nof presume to c�ive aufhonty to <br /> violate or cancel the Provisions o/any ofher sfafe or local l�w regulating consVuchon or fhe <br /> perfannance ol construcfion. That 1 am aufhorized by lhe on•ner oRhis property to perlorm the <br /> �rork for whidf applicafion i made ap511 compty wdh(he State Contractors Law f0.27 RCW r.nd <br /> ZJti.ZOOW�I'C. 1 �/ <br /> G . <br /> (�„��• � '�a'-�C �o.-/-09 <br /> Si ure �a1e ��Y l� -QG 8 <br />