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—< < <br /> ELECTRICAL P�RMIT APP!ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org L(-�'"� Z <br /> APPLICATIONS ARE ACCEPTEL �ROM 8 AM TO 4 PM G���y `�3� <br /> �� -» f'-;` -- . � � �iP <br /> PROJECT ADDRESS <br /> "l7n�n 7 A.��P G'� C��?h r�e t l;Hzz C'-daa��.vm�.11ve. ��lt►�i�y�S 7t73 425-�F�-�,46 <br /> o� <br /> QWfIBf uMail Address Glty �1s�c���y • ••-.— <br /> Tenan[ Mail Address C��/ 'rya1�P P� <br /> � `����l�r� 7Gu/ i�afti .U� ��� �,sf �I�GS"L 4zs �s5-�� <br /> Electrical Contrador Meil Address C�ry Stete2�p P� <br /> � '• � u � M,� � 5GG <br /> State License Number Contrad Price of Work <br /> Proposed Use ot Building Contad Person (Plan Review) <br /> Description of Work to Be Done: �s� ��� �' �` ^ � � r� �"r� ' ����`� ��J�2�"S�Qh <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. �O� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y certify fhat 1 have read and examined this application and know the same to be hue and r �^,�/ r_I'j B' <br /> correct. All provisions o/laws and ordinances goveming this rype olwork will be complefed � LCJ"j' <br /> whefher specified herein or not. The granfing ol a permit does not resume fo give aufhonty to <br /> violate or cancel the provisions o/any other state or local law reguPting constniction or the <br /> peAormance o/consi�uct�on. Thet 1 am a�tharzed,by the owner ol this properfy to peAorm the <br /> 296 200 WAG,gPp��cation is made end 1 comply wifh the Stafe Contrac(ors Law 18.27 RCW and <br /> �_� �l/ Z7f 1 Z <br /> —�Signature Dete <br />