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ELECTRI�r�L PERMIT APPLICATIQN <br /> CITY O,I= FVERETT PERMIT SERVICES <br /> 320U CED.4P, STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �'��— �x <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �D�ft'����� �SI <br /> PROJECT ADDRESS <br /> ��i"c l� j1'1 fl %�e .^ S'G�o'l/ Gi'.r s f o�i1J �%�.� f! � '1'��� ,�_:%9 - 3�7 y�' <br /> O�vner A1aiI Address City Slale/Zip Phone <br /> Tenant A7all Addross City State/Zip Phone <br /> /1/��G�vr/c �����.^ic .�r /•'D� %'�" �,9�'' �f//!'! /�/�. �rS'DS�/'c�.t.�S" <br /> Eleclrical Contraclor 61ai1 Address Cily °Iate2ip Phone <br /> ��{U/l7�ZD P'b',T G '�✓r0� �`6GCt <br /> Slale License Number C ntr�ct P�e o(Wort; <br /> fi�4.G <br /> _��s�`o��,-�� ao6 - z zy-�.�/ 7 <br /> Proposed Use of Buildinc� Conlacl Porson (Pian Review) <br /> Descriplion of Work l0 0e Dona: ��-S��/.� .SL•'//�.fq��rj_ u�A��te�� � �o wfia,�,�•� <br /> � �O K.'7�✓c� .L �//�c 6�-a/ ' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily thaf 1 have reod and examinetl fh(s ap�lication and kno�v fhe samo to bo true and <br /> correcL All provlslons olla�vs and ord6iances govemmg fh�s typo ol�rork will Gcr completed <br /> �vhefher specified herein or noL The granfing o(o pamul does nof presume to givo aufhonty fo <br /> violate or cancel the provisions o/any other state or local la�r re�u/ating consfruction or fho <br /> pertormance uf consfruction. That 1 am aufhoiized by the o�rner oRhis property to pedomi the <br /> �vak lor u�hich application is made and 1 cornpty�vith the State Contractors Latv f 8.27 RCIN and <br /> 296.200 IM1�AC. <br /> � <br /> �CJ,�.�,':�'G�J.�-�..�- �fzG d�% <br /> 5i�nature Oate <br />