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ELECTFZICAL �ERMIT APPLIGI�TION <br />CITY OF EVERE,�'T PERMIT SERV9CES <br />3200 CEDAR STREET, EVERETT, WA 93201 <br />425-257-881U - FAX 425-257-8857 — evww.everettwa.ory S_. ��—Q� <br />j"Y�G� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />/�iJ:; � c�� S �� <br />EledricalContrac[or MailAddress City <br />� � � � <br />tiO(?IIfS�(?6C�� j /��5/7 <br />State License Number `• <br />6 {r'� u: <br />Proposed Use of Buiiding <br />AL'PLICA'fIONS ARE ACCEPTED FRnM 8 AM TO 4 PN <br />��' e rf �'•' �-✓ �`�� `/ <br />Ma'J Address <br />..,h47e �C=��ti', <br />Idail Address <br />City Stale2ip <br />�/ S C �S'ntC11;1. L': � <br />Cily SlalelZip <br />�Hc��.c /JOi-1. ��<_�S,,ti,fl� SE .=f��, � r <br />I'hone <br />7. �L-. <br />9�5=3' if3 7F;.�,-. <br />Phone <br />�z�v 3 z9 � sYG <br />StateRip Phone <br />/S�, � SD <br />Contract Price of Work � <br />� <br />��'"�'�' J�U��v — <br />Conta Person (Plan Review) <br />Desaiption of Work to Be f)ane: % -�`��'�"� l �?� ='v =' � � �' - ��% �� ` ^ �`' �%t ;� /�'�' f' �,� ; � <br />� <br />� �� � �%� (iGfi � /.� � '��9 �> Nu�.J i u,'. �..i%� ( ii T�c. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVEREfT LOCAL SALES TAX CODE IS 3105 <br />I here6y certify that 1 have �ead and examined this applicafion and know the same to be frue and <br />correcL All provisions o/ laws and ordmances yovemmg this type ol work will be. completed <br />whether speci�ed herem or not The granfing of a permd does not resume to give authonty to <br />violate or cancel the prov�sons oI any other s(ate or local law reguPahng const�uction or the <br />peAonnance ol constraction. That 1 am authonzed by the owner ol this property to pedorm the <br />work /or which applicalion �s made and 1 comply K�i(h the State Contractors Law 18.27 RCS/and <br />296.200 WAC. <br />,� :.,�.,�%� <br />FEE <br />C 4%���%, -�� j �,) <br />