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� + � . <br /> �LEC7'RICAL, PE�tMIT AI-'�LiCATION <br /> CITY OF EVERETT PE�tMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, N!A 98201 <br /> 425-257-8810 - FAX 425-257-8857-Hv,tiv.everettwa.org <br /> C( "��..-iZ <br /> �.�PLICATIONS ARE ACCEPTF.D FROM 8 AM TO 4 PM G���..p4 <br /> ��1� ����e�;n�-✓��,�d e�e�,"GL(�� �D3 <br /> PROJECT ADDRESS <br /> \ <br /> Owner Mail Address City State/Zip Phonc <br /> ��//r� /l�s 1��. �a `�z�8�l% <br /> Tenant Mail Addross City Stale/Zlp Phone <br /> ;/�����'aKs,u�� �93t� �v , �y�303 � C I�i4, 9�O1� ��5��3-�b'!�-' <br /> ElectricalConlraclo�Mai�Address CI State/Zlp Phone <br /> p�/,/' � ����� � <br /> ///��k'f!�-X'/7 u/ - Can rect Price of Work <br /> State Ucense Number . <br /> Proposed Use of Building Contact Person (Pian Review) <br /> Description of Work to Be Done: ��' � f� e p��'14 ��"'�l-"�S�A� " " - f����� <br /> �iII��F�77 3��tfe � dQa 6l►� G�%(�' �I:/►C�✓l�'60w�0(.F�O,�'— <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC C.�BLE. I D � 50 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � l Z����� r� <br /> 1 hereby certity that 1 have read and examined this applicatlon r.nd know the same to be true and �C <br /> conect. All provisfons of laws and ordlnances govemrng thls type of work will 6e completed <br /> wheGier specified herein or noL The granting of a permit does not presume to give authonty to <br /> violafe or cancel the provisions of any ofher state or local law regulating construct7on or the <br /> pertormance of construction. Thaf 1 am authorized by Ihe owner of this property to perfomi the <br /> work Ior which appllcaflon!s made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ,�� ��//� <br /> Signalure Dale <br />