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� <br /> ELECTRICAL PERMIT A.�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET"f, WA 98201 <br /> 425-257-881 D - FAX 425-257-8857 —www.everettwa.org <br /> �-30—�� <br /> APPLICATIONS ARE ACCEPTED FROfJI 8 AM TO 4 PM �Oc�D7--�7 D <br /> �S/.zy ��PP9l29oa �e kw� � .�20.'� <br /> PROJECT ADDRE �J <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenanl Mail Address I,n City State/Zip Phone <br /> ���vZ 3�.�'_r'` f7i $l. <br /> �,�t1P�.'�f �P��CQ.ic �rr � R��I�P I � L� - �1c�1� ��oc.>��5�-3°ti <br /> Eleclrical Contraclor Mail Address Ciry StatetZip P��one <br /> (^� i1�v'�'_�1����- �?��,GY�C� <br /> Stste License Number Contracl Price o(Work <br /> 'TT /��- �Q�l ��v�� P S �`�"���ap.� � <br /> Proposed Use of Buildin� Conlact Person (Plan Review) <br /> Description af Work lo Be Done: L ��X �G ^ � v v7 <br /> � <br /> � L � 7 ' ` <br /> O <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /���� l �-�j <br /> I hereby cehi/y fhat I have read and examined fhis applicalion and know the same to be true and r <br /> correct. All provisions ol laws and ordinances goveming this type o(work will be complefed �-/ <br /> whefher spealied herain or not The�ranting of a pernut does not resume to give authonty to <br /> violate or cancel Ihe provisions oI ary other stafe or local law reguPfing construction or the <br /> per/onnance oI construction. That I am aufhorized by the owner ol fhis�roperty to perform fhe <br /> work for which application is made and I comply�vifh fhe Stafe Contrac�ors La�v 1827 RCW and <br /> 296.200 WAC. <br /> �� ��� yc��--- ����—d� <br /> � y Dale <br /> � <br /> :% v <br />