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, <br /> - � <br /> ELECTRICAL PERMIT APPLICATIO� <br /> c�ty���« CITY OF EVERETT PERMIT SERVICES „i�� ; <br /> 3200 CEDAR STRFET, EVERETT, WA 98201 I <br /> 11�irty-Fivcand0o/lo0••••••••�'C?1�.Z57r89aLl....FNY.iLZSr?.5T.8r857.�iNWKW1oGPShY�113Ge.••••••••••••••••• ; <br /> pp��C�1�j�S ARE ACCEPTED FROM 8 AM TO 4 PM - DEBR 8 CREDIT CARDS ARE NOT ACCEPTED � <br /> 2930 Wcunon;Avc. <br /> Everctt,WA 98201 <br /> •j �s ca � L ._LLa.l�t o�� t,v ��� <br /> PROJE�'�4�flEJ`ffi' � <br /> �� �f a wl � (�� .��, lJa �lc� �H �.Gt lT "� �5����7` � <br /> Owner Mail Address City State/Zip Phone <br /> City Evcrrlt 9/22/2IXW <br /> 35.t10 <br /> Tenant Mail Address City State2ip Phone <br /> �..�../�AID ��(� 3�0/ t�Ot�G'� ��� �li,ta�ff qt'lo/ - 14 <br /> Electric1l Contractor Mail Address City State2p Phone <br /> { <br /> �1�/L�l�l S 5 �4 2 � (� Contract Price of Work <br /> State License Number <br /> `�=5� �� G� Contact Person (Plan Review) <br /> Proposed Use of Building <br /> Description of Work to Be Done: f �l f� ��-r �i / W� ����r�'! �a H t' <br /> Ch�sking tnnz��nakoio way 35.00 <br /> Cih�livcmlt 9/2220D4 <br /> 35.00 <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. '3 �"��,� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceRify that I have read and examined fhis application and know the same to 6e true and <br /> correct. AI!provisions o(laws and ordinances goveming this type ol work will be,compfeted <br /> whether spec�fied hereir,or not. The granfing o�a permif does not presume fo grve authonty to <br /> violate or cancel fhe provisions of any other stafe or local law regulating conshuction or the <br /> peAormance cf construcfion. That 1 am authonzed by fhe owner o(this propeRy to peAoRn the <br /> work(or which applicaticn is made and 1 comply wdh fhe State Contractors Law 18.27 RCW and <br /> 296.200:NAC. <br /> � v� �' �, O <br /> / Si na'ure <br /> C �xking IW2GDnAotnWay E��}tl9-�0� 35.00 <br /> 0� <br /> �, <br /> \:��\1\�'' <br />