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� ; <br /> �LECTRI�:,AL PER"JIIT APPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 320G CEDAR STREET, EVERETT, WA 98201 �� I �I �� <br /> 425-257-St310 - FAX 425-257-8857—www.everettwa.org / I ( � � _Q� <br /> L <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> d53 0 <br /> ; Cv.e�-yr��. � <br /> ```l— <br /> PROJEC7'ADDRESS <br /> Owner Mall Addross City SlalelZlp Phone <br /> ' I '-Q �d�� -pM ya��' �� �.t/-P�1'�'fP�w W�,,,i ��r� �/�- /�°� <br /> Tena�t MailAddross City SWle/7Jp Phono <br /> �Vrt(i�Nl g3! �� (�'.'r �,� ('1�,,`^� 5 / �� �'�Nhwom� WF� ���� ��'-�76� <br /> Electricai Conlractor Mall Address Clry SlatelZip Phone <br /> wNl ��-'�z y331f (� �k 5�,� -- <br /> State Ucense Number Conlract Price of Work <br /> I�Y � <br /> Proposed Use of Buildfng Contact Person (Plan Roview) <br /> Descriplion of 1Nork to Be Done: ��h'`z�1 �7����'-` S� �`^�-� � <br /> rnv�r ��Mc <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 ��� (,1 -G7C.., I <br /> 1 hero6y certily thal l have read and examined this applicotlon and know the same fo 6�truo and <br /> correcf. All provisions o(laws and ordlnances guvaming(his type of work wil!bo comFlefed <br /> whether specified hereln or not. Tho grsn�ing o/a pemnt does not resume to give aulhonry to <br /> violateorcanceltho provlsionsofanyothersta(eorlocollawreguPetingconstruction�>rthe <br /> pedormance o(consiructlon. Thaf I am aufhonzed by fhe owner o/this property to pe�farm fhe <br /> work!or whlch applicafion Ts made and 1 comply wifh the State Con(racfors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> t c �-' r <br /> Signatu ' Da <br />