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� • <br /> ELEC1'RICAL PERMI�' APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — vnvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> _ ) G� i�; _� `z ��n r�l�L� <br /> PROJECT ADOP.ESS <br /> ��Jt..�. l',Gr.V��S � � � � : �(f0- �P��-�IZ-� I <br /> Owner '.1aiACa�ess C�ty Sta1z.2�o Prore <br /> �� f� <br /> I O�IIS �,t�-��,��Lv� ��cL� cGU�-eJ�P�-- (�o�}- �t'�'20� <br /> lenanl �.1alFd��ess Ctly Slale/Zip Phone <br /> ( ,,- � L{ZS-77(o��3f-- <br /> l�i��i 'i��-Q�(N� �l/�r�1 �'-�DO ►�.lGL',e/�GV\ G��' - ri(�✓2,�=� (�'dl "r/ £fZ�� <br /> Elecirical Co traClor �.1a�1 AdCress Cdy Slate/Zip Phor•e <br /> ��'✓t,l� �r� ��� �l�- <br /> State License N� ber Camract Pnce of VJark <br /> �O✓����'�,�,;7G� 1}�f NG�'��,�, l�� <br /> Proposed Use of Buddmg Contact Person (Plan Rev�ewj <br /> bescripfion of Work to Be Done� f��—��r�{��{� L�,Q !.�(f�� J���� <br /> Si,�r..�.�1% <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. � <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereGy cerfify Ihat I have read and examined Ihis apphcation and know(be same to be frue and L � ' I,u L.—�� Z <br /> correcl All provisions o//au�s and ordinances,qovern�ng Ilris type ol work will be compleled 1� `Y ,f <br /> �vhefher speci6ed he�ern or not. Th,e granting o/a permd does nof presume to give aufhority lo <br /> violafe or cancel the provisions ol any ofher stafe or local law regulating construcrion o�Ihe <br /> per/crmance ol consvuction. Thaf 1 am authonzed Gy the owner ol thrs properfy fo pedorm!he <br /> �:rork/or which application is madz and I comp/y with fhe State Con(ractors Law iH.27 RCW and <br /> 296 200 lh' <br /> �' t� Z II I�/ <br /> Sio re Date <br />