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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �/ab��z <br /> 3200CEDARSTREET, EVERETT, WA98201 ��3��� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> `���M M� s�r I� � <br /> RC �o cuE�����rJ v��-Y � <br /> PROJECT ADDRESS <br /> v�, � �- 2ob 8ih �6.6 1. <br /> Owner 1 Mall Address Clty Slate2lp Phone <br /> Tenant Mail Address City State/ZIp Phone <br /> Sl���u�� �cT��c' 3��zo S�A�ae S �u��r ��I c,��9Ro'v/ 2�� ��Y 9; � <br /> ElectricalContraclor MailAddress City Slate/Zip Phone <br /> SKiM�� �l C,��'I �.�°�- �� <br /> State License Number I Conlract Price of Work <br /> . UI�kDS� ?�� 3�� 976� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work lo Be Done: f���e�Z �� ��D / �il�a� �C7"'� B�4�< �� � <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� rJ� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y that 1 have read and examined fhis applicatlon and know fhe same to 6e true and � I Z�� — I�-}-C� <br /> correct. All provklons of laws and ordinances goveming this fype of work ivill be compfeted <br /> whether specilled herein or not. The granting of a permd does not presumo to give authonty fo <br /> violafe or cancel fhe provis7ons of any other sfafe or local law reguletfng construction or fhe <br /> peKormance of cons2ruction. That 1 am authorized by fhe owner o(this property to perform the <br /> work/or which appllcaflon!s m,ade and 1 wmply wifh the State Contrac(ors Law 18.27 RCW anJ <br /> 296.2 WAC. <br /> o�,c� ` D � , r <br /> SlgnaWre /Date <br /> � <br />