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( '�. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 �I"S-'�O <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.arg �lO��_Da� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> u$� ` r <br /> � CU2C9t'eCn �w f • �e� �r.l�. <br /> PROJECT ADDRESS <br /> mM 45i nC, Thc � G �oX I L��rnG V�a CI��Q� <br /> Ownef � MaJ Add2ss City StaM1Z(p Phane <br /> �al �.ar�re y8�1 �u��r�, �I�+ E����k �I� 1�'�3 <br /> Tenant MaA Address �_ Ciry S���p P�� <br /> �Ic�Shl��ton A�arm 1-�a 1�53 S Zcc4�sun5� S i-I�l �lc. �BLy�I ao6�3�8-32�" <br /> Eledrical CO VaCto� Mafl Address Ciry StelelZip Phone <br /> ��i�s���a$a�� __. <br /> f, 8�:� �`'=- <br /> State License Number Contract Price af Work <br /> �,.n:a 1 �J'�Jo�Ll <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Description of Work ta Be Done: �l��Q- �U�'GICT¢d f/'r..f�G11T1� nC�IJ ��'GI !-�CI❑ � ���k�.�'�I <br /> ��� ^ �moli.e�I�r,,,�� �d FrobeS ancl �I �-�ob <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 � � �I� U .L�/ <br /> 1 here6y certily thaf 1 have read and examined Ihis applicafron and know the same to be We end <br /> � n <br /> conect. AI!provisfons of laws and ordinances goveming this type of woAc wlll6e,completBd <br /> whefher speci�ed herein or not The gren6ng ol a permd does notpresume to grve aufhority to <br /> vialafe or cancel fhe provisions of any other sfate or local law raguleting conshuctlon or the . <br /> per(ormanceofconsWcGon. tlamauthorizedbyfheownerol�ispmpertyroperlarmthe <br /> worklol which apppppphhhcccation fs a e and 1 compty with fhe Stafe Contrdcrors Law 18.27 RCW and <br /> 296.200 WAG,� <br /> � i'9 � f� ,S �t � <br /> i ' <br /> ignaNre � �aro <br />