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� �- . <br /> ---� <br /> ELECTRICAL PERIVIIT APPLIC�'�►TION <br /> CITY OF EVERETT PERMIT SERVICES /t� ��..�Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 `'� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C���,Q y3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1��3 �s.syCerl ��/ <br /> PROJECT ADDRESS <br /> �s��� �k �;� G� o��As S�'�F2b�sr �2�a �� c�� �'er� <br /> Owner Mail Address City Stale2lp Phone <br /> ��e� �-�t� 1�.15 �{�23 ��c���� ��r�` �� �A3 <br /> Tenant Mall Address C(ty �W�T , S�N�P� Phone <br /> 1 �/ <br /> dJ�,�- �rq�,� �f�:�,�a` 2do8 4�.,,y Rq So��-� l�,{� �82�3 3�-y2�(-�3 <br /> Electrical Contraclor Malt dress Cily State/Zip Phone <br /> �,I���SC� , ��� i��'- <br /> Stale icense Number Contract Price of Work <br /> �GW� � I�l ,7OIbH US 1.V1 �'�kC� . . <br /> Proposed Use of Build(ng Contact Person (Plan Review) <br /> Description of Work to Bo Done: �C�vUQ ��� ``e ^ ��5�� ��5�� �� S�9� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �/1 C� <br /> lJ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y certi(y that I have read and examined this appllcation and know the same to be frue and � ������� <br /> ccrrect. All provis7ons of/aws and ordinances goveming fhls type ol work will be completed <br /> whether speci(led herein or not. The granting of a permit does nof presume to give aufhority fo <br /> violate or cancel tlie provisions of any other state or local law regulating construcflon or the <br /> performance of conslruction. That 1 am aufhorized by the owner of thls property to pe�form the <br /> work/or which application!s made and 1 comply with fhe State Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> `�.kJ"`� "�O� �{— �v—('.� <br /> Signature " Uate <br />