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� - r <br /> ELECTRICAL P�RMIT A,�PLl�vATlOt� <br /> CITY OF EVERETT PERMIT S�RgIlt�f� <br /> 3200 CEDAR STREET, EVERETT, WA Gf32.G1 - �' <br /> 425-257-8810 - FAX 425-257-8857—�.vww.everettw�� :- ; <br /> APPLICATIONS ARE ACCEpTED PROMi B AM TO 4 PM <br /> ///v�Y �G'c`lC4��E� �✓Ay <br /> PROJECT ADDRESS <br /> Owner Mail Address Ciry State/Zip Phone <br /> �.Fl7�ql Rt�1v/1A••� .SA�'-JE !)5m� <br /> Tenant Mail Address City StateZp Phone <br /> 4Rre� u,+�i tcrc,k�c itic � <br /> ��ti� r-- `v 11�3� �7 ��„C _S Sr.:-�1�_ 6w, �Oio.I �,,?06/87�'�/6�f' <br /> Eleclrical Contraclor Maii Address City State/Zip Phone <br /> �lZFAY!✓t- �S �/ C (f � , �OU <br /> State License Number Contract Price of Work <br /> ,Q c-T��/ Sr E�c <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ���� ���� �� � 1 ��� 7L�� �Q�S%�'vR6"'� <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 <br /> 1 here6y certily thaf I l�ave read and examined this application and know fhe same to be true and <br /> correct. All provisions o//aws and ordinances govemmg this type ol work will be completed <br /> whether specified herein or not. Tlie granting of a permif does nof presume fo give aufhority to <br /> violafe or cancel the provisions ol any other sfate or local law regulating conshuction or the <br /> performance o�construction. That 1 am authorized by the owner o/this property to perfortn fhe <br /> work lor which application is made and 1 comp;y with fhe Stafe Contrac(ors Law 18.27 RCW and � <br /> 296.200 WAC. <br /> ��� �=� ��- �O'-�L�� U� �( ��� I � <br /> T Signature—� Date l/ <br />