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-�;- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVCRETT PERMIT SERVICES <br /> 3200 CEUAR STREET, EVERET �, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P6� <br /> �/7U O C✓��?G,�7—�/ �*/R�/ <br /> PROJECI'ADDRESS <br /> GLLJ/J/? Gbf�3NNJ/_�'L 3Lc/ ���/ /9,K. S_ .��1�, k/B ys+/.3 H zcr-6frz-.3s,�,3 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State2ip Phone <br /> ���.5�/3-riG/� <br /> I�Avr/J S7'cGK CG�q,�Z�/G, LLC /�,G. l�ck ZSfsZ ���y.�+� � �J ll7yOZ _ <br /> Electrical Conlraclor Mail Address City � State2ip Phone <br /> �AvirJ Se'y62 � 1 /�?/`�`� �� � <br /> Slate License Number Conlract Price of Work <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Description of Work lo Be Done: �/J9/NG/Q Pr0/J//? U,� S��Z✓/cC CGNII(//7' <br /> ,�1V/� / /6�'T' G1/�GG'/,'T �GNDLii '�' GIPtu/Vl/NG �.�Gl�k` A/•%/'�� <br /> s�r�- w�,�r /ri v�u.l,�y <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> i BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I herebvi certily(hat 1 have read and examined this application and know the same to 6e true and <br /> correcL A/l provisions ollaws and ordinances governmg this type of work will be completed <br /> whether specilied herein or noL The granting o/a permd does not presume to give authonty tc <br /> violafe or cancel the provisions o/any other state or local law rsgula(ing constracbon or the <br /> performance o(construction. That 1 am authoiized by the owner of this property to pedomt the � <br /> work/or which applicaLon is rnade and 1 comply wi(h the State Contractors Law 18.27 RC W and <br /> 296.20G WAC. 1 <br /> �J / � / / l <br /> �7'�� r �'`G� <br /> S�gnaWre Dale ,� J <br /> ��� <br />