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,;;,i,�=,, .;�;;�,,,� n\i� ��°���ri��Illi�c .�,����ii�ii���!'►Ic{;�[�� <br />�°�`±':� �� ��d�E���'�� �'���Ilda°�` ��ROiIC�� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 �- FAX 425-257-8857 — www.everettwa.ory <br />� �. �9—Og <br />C��2`�G� <br />�PPLICATIONS ARE ACCEPTED FRONi 8 AM TO 4 PM - DE81T �: CREDI i CARDS ARE NOT ACCEPTED <br />q%� � ��crg� (Nn4 �c,^cft, WA �tBRc�Y <br />PROJECT ADDRESS <br />�Gi11014V�i�4 I�..J�S�I %�U'f� µarUCSor h� FJCrG'� �l//� l%Zd.] i�5•3H4•%�00 <br />Ownef Mail Address Cily Stale/Zip Phone <br />Tenanl <br />Electrical Contractor <br />JNIJov��osskr_ <br />State Licenso Number <br />u� S�oP <br />Proposed Use of Building <br />Mail Address <br />Nail Address <br />Ciry <br />Slate/Zip <br />Stale/Zlp <br />�3�173."� <br />Cor.cract Price of Work <br />CIeG��n Gulc�� <br />Contact Parson (Plan Review) <br />DescriptionofWorktoBeDona: ��� Fa��qt�d� o� auS Iza��Q T�^0a�5if 51a�«�+� TGIk <br />U�wJ�tr ,3yuwQ SPWicc.� �i braach C�rc4�E5 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEVI'AYS, MC OR AC CABLE. <br />CITY OF EVFP.E7T LOCAL SALES TA:C CODE IS 3105 <br />I herehy ceRify Ihat 1 have read and examined tfiis application and know the seme fo be true and <br />correct. All provisions ollaws end ordinances goveming th�s rype of work will be completed <br />whether speci6ed herein or not. The granting oi' a permd does not rresume to give authonty to <br />violate or cancel the provisions oi any other sta:e or local lav� regu/ating cons7uction or the <br />perlormanco o/ construchon. That I am authr,rized by the owner o1 this property fo pe�torm fhe <br />work /�r whrch application is made and 1 cumply wifh fhe State Contrac(ors Law 1 ti.27 RCW and <br />?_96.200 WAC. <br />2—�1—G� <br />FEE <br />�12- u.�i <br />Phone <br />Phone <br />