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ELECTRICAL PEiZMIT APPLICA'!'ION <br /> rITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 4:?5-257-8810 - FAX 425-257-8857 —www.evereitwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> c�� o � �'vev��r-e�,�/ ►�l�u �Bo� 3 � <br /> PROJECTADDRESS � �. <br /> �J.i.-I.. ��_ -. J-;- <br /> � <br /> i�a M c� S ��"� <br /> Owner Mail Address City State/Zip Phone <br /> u-�o.� �v-ev� Rr�e�n/way �'��er�H- u�/� 9�0 � 3 ' <br /> Tenan�—� Mail Address Cily State2ip Phone <br /> ol � ' s o � 1� ���zz � I W � Wz�d t�Ilj- 9�°� �� <br /> Electrical Conlract r Mail Address Cily Slate/Zip Phone <br /> 00 <br /> pn1�� � �� �i ti � G�� � <br /> Slale License Number Conlract Price of Work <br /> ,-T�n/ pAR� <br /> Proposed Use of Buildfng Contact Person (Plan Review) <br /> Descriplion of Work to Do Done: 1N�t I l� � 'h ��3l'� V �j �N5 �b� 'l <br /> ��n�-� SU,,��«fi � �1��t-� � o m� r� II � <br />, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF BVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certity fhat 1 have read and exarnined this application and know the same fo be frue and <br /> correcL All provisions of la�vs and ordinances governino fhis type ol work will be completed <br /> �•rhether specilied he�ein ornot The grantinc�ofa pernid does no( resume to give aulhonty to <br /> violate orcancel the�rovisions o(any other state or locallaw re�uPfing construction or tho <br /> per(omiance o struction. That 1 am authonzed by fho owner o/fhis property to pedonn the <br /> �vork lor whi �app ation is made and 1 cornply with the State Con(racfors Laiv 18.27 RCW and <br /> 296.200 W . <br /> � � `�- � � ' � � �� <br /> ��� � � <br /> / J <br /> Si naWre Data <br />