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� <br /> EL�:CTRiCAL PEQMIT APPLIGATION <br /> CITY OF E:VERETT F _RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 C ��2' �� <br /> 425-257-ti810 - FAX 425-257-6857-www.everettwa.org � � � p�_,���1 <br /> .'1PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ' � U�� (� l�xrij,�ro v v. L.1• � ��irer-e�� <br /> PROJECT ADDR�SS <br /> Owner Mail Address City Slaiie2ip Phone <br /> (yY�""�� I- / /���L.✓1'IL �' I �0��� l�VC)Y.7( � 1..�"J GLMK� 0.Jf" /����(✓V U� 17 <br /> Tenant � Mai;Address CII State2ip Phone <br /> f�l`c�-<<> ��s��, � ILC �a33 15� It�� �.�1��5 5�� f�'�� �.ri `iLi�� .�53� 3oy-55a5 <br /> Electrical Contractor Mail Address City Slate2ip Phone <br /> �n ��R,>,�L 9vsi or� <br /> � 33 �j �i . a � <br /> Stata License Number Conlract Price of Work <br /> � � ( <br /> f1:�1.1cF '� ��tih �05 L rv.uv�.at^5 <br /> Proposed Use nf Building Contact Person (Plan Review) <br /> . / � � <br /> Description of Work lo Be Done: r - C L <br /> 1 �> ,�� o- z llz� � . <br /> � <br /> I NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �EE <br /> BE IN RACEWAYS, MC OR AC CABLE. y �� ' G � <br /> � "J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I liereby certily Ihat 1 have read and examined fhis applicafion and know the same to be true and <br /> correcf. All provisions o/laws and ordinances goveming th�s type ol work will be completed <br /> whether speci(ed herein or not The granting of a peimd does not presume fo give nulhonty fo <br /> violafe or cancel fhe provisions o/any othe�sfate or local law regulafing construchon or the <br /> por/ormance o/construction. Thaf 1 am authonzed by the ownero/tliis property to pedorm the <br /> work Ior whicb applicatio �s made and 1 comply with fhe State Contractors Law 1B.27 RCW a��d � <br /> 296.20�,wAC �� ^ �D <br /> /� � � �, � - I� � � C� <br /> SignaWre ua�e <br /> �' <br />