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!� �i� ,��,�'� �-'i����%.��-�LL, ��f�'��I���lI .�1b`-�'��Il.�l�(�:lj�!, �I'II(r »ji�;�i <br />�j � �r �(� �1�'����"!" f���ai1/Vs� �E�\i���� � 2—g—� 8 <br />3200 CEDAR STREET, EVERETT, WA 98201 � Q g� 2_p5C} <br />425-257-S�S10 - FAX 425-257-8857 — www.evereitwa.org <br />APPLICATIONS ARE ACCEPTED FRO�9 8 ANi TO 4 PM - DEBIT & CREDII CARDS ARE NOT ACCEFTED <br />�'iy�l E�<rqrctn U�a�ti E�tra14, WA �i4�2U� <br />PROJECTAD�RESS <br />��m uc,��y T�t�� 71(�U µa-'.icSon �'c� Fv<�fif lvR 49,�d? y2s•3aW71oo <br />Owne� Mail Adnress City State/Zip Phono <br />Tenant <br />Eloctrical Contractor <br />l��n,r�ir� SS Icr_ <br />State License Number <br />�ju5 S�� <br />Proposed Use of Building <br />Mail Addross <br />Mail Address <br />Ciry <br />Sfate2ip <br />Shale/ZJp <br />Phono <br />Phona <br />13. 36't .� — <br />Contract Price of Work <br />cicc��� G�I��� <br />Contact Person (Plan Ravie�v) <br />� <br />Descript�onofWorktoBeDone: Inc}o��qfio�, o� �4S P.�i�Q T�^�i�����' S q`«dS G� <br />_l1�WXtr�rou� SE�ic' � �{ braNcl� C�P�uiiS -- <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA%: COOE IS 3105 <br />I herehy cerlify fhat 1 have read and examined Ihis application and know the same fo be frue and <br />correct. �ll prqvisions of laws and ordinances goveming fh�s lype of worX will be rompleted <br />whether specdred hrrein or not. The g2nting o!a pernul does not p�e��ime to givp authonty io <br />violate o� cancel tho provisions o`sny other state or Iocaf Ia�vregWating construchon or the <br />performance of ccnstruction. That I am aulhorized by the o�;•ner o/ fhis properiy to pedo�m the <br />work (or which spplicafion is made and 1 comply wilh the Stale Controctors La�v 18.27 RCW and <br />7_9G.200 WAC. <br />� 'Z,�_�� <br />Sianature Oate <br />FEE <br />f,'��f2 -CS�j <br />