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ELcCTP.ICAL PERMIT APPLIGATION <br /> ClTY OF EVERETT PERMlT SERViCIES ` _�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3 3 <br /> 425-257-8810 - FAX 425�257-8857—www.everettwa.org ���0 3`�/v <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 4 (v�o E��2�,z�n1 c��,/ �� <br /> PROJECT ADDRESS <br /> 9zs <br /> li/�i Ll-I-f1EL D42t4� �ZZ -'�Z� <br /> Owne� MallAddress Clty Stale/Zip Phone <br /> /�9[/Gil 6���F5 `�(c /D E��r�a�2E�' c�raV �G� <br /> Tenant Mail Address Ciry Slate2lp Phone <br /> 1/'Z S <br /> G�2��,t„�- c�? �o a�;� zyo� ���t� w�� �r�z�3 �Z-�4��, <br /> EleCtrical ConlraCtor Mail Address City State/Zip Phone <br /> C-�r�cN� i�E/ Zf%>C:G llGb� <br /> State License Number Contract Price of Work <br /> Proposed Use of Buildfng Conlact Person (Plan Review) <br /> Descriplion of V�brk to Bo Dono: ��G NT��G �t-'TiZni'/T <br /> t40TE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE .')r � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ' <br /> I hereby certify that f havo read and examp�ed fhis applicalion and know fhe same fo 6e true and <br /> �1103 - vi � <br /> correct. All provlslons o(/aws and orxifnances governing tliis type o(work wi/16e comple(ed <br /> whether specilled herein or noL Tho granfing o/a perrmt does not presume to give authonty to <br /> vlolate or cancel the provisions of any olher stafe or local la�v regulaGng constructlon or fhe <br /> pedo�mance of constructlon. That 1 am authorized by the owner of fhis properry to podorm the <br /> work ior whlch appllcatlon is made and 1 comply�vith fhe State Contrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> '�' J ' <br /> �, � �✓ 3�� / <br /> Slgnaluro Oate <br />