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i��,i� ���;.`�f`�il�:�,i�, �'I��►�IINr�' .�.G�'�'I��,��,��,`_�� �i;;,�ji�r <br />��'�]`i `�o �r� ���EE���"a� `���Alds�' �EF�1l1�'�� <br />3200 CEDAR STREET, EVER�TT, WA 98201 <br />425-257-Sd10 - FAX 425-257-885'I — www.everettwa.org <br />a1PPLICNT10f4S ARE ACCEPTED FROPJi 8 ANl TO 4 PN7 - DEBIT �: CREDIT CARDS ARE NOT ACCEPTED <br />9636 ���r. Wa E�cr�tf WH 98209 <br />PROJECT ADOkESS <br />Owner <br />Tenant <br />Electrical Contractor <br />It�A!nuvin�skr- <br />State License Number <br />gus Si� <br />Proposed Use of Building <br />%I CiV Eiar�< <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />Ciry <br />9zo <br />SUtc/Zip <br />State/Zip <br />4903 G <br />State2ip <br />12 7ad .°= <br />Contract Price of Work <br />C�QGIUn Gu��� <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phane <br />Description of Work to Bo Done: ���5`���ofi o� �4S }�.�� Q ��^Fr Sr f 544��o�S 7�%1� — <br />Utto�.r�rouwA SPW c�- ._�raacH C�rc��45 <br />NOTE: WIRING I�J NON-D�NELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA:: CODE IS 3105 <br />I hereby wrtity lhat l have read and examined this application and know the same to be irue and <br />cor�ect. All provisions of laws and ordinances govemmg th�s rype of worlc will be completed <br />whether specilied herein or not. The ,qrant�ng of a perm�t does not presume to give authonty to <br />violate or cancel the provisions of any other state or local law regulafing construchon or fhe <br />per(o�mance of construction. That 1 am authonzed by the ownera( tlns property to peAorm the <br />work (or which application is made and I comply with ihe Stafe Centracfors Lasv 18.27 RCW and <br />296200 WAC. <br />� <br />2.-�l-OC� <br />FEE <br />� C'l I Z- oC�2 <br />