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ELECTRICAL PERI1111T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 p <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org � Z '- (�- �7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � ��Z��D� <br /> I C� �>�; ''�r�.K��� ����- <br /> PROJECT ADDRESS <br /> ��c�F,c�7�C K���'`��r�d�lL l U36�' ,UA�zv7Au,�,t n'c'G��,T `�f�'2�f1 <br /> OWner Mail Address City StalelZip Phone <br /> Tenanl h9ail Address City� S�ale2ip Phone <br /> � L�'i/�E sl�t/f�s. <br /> ��� 7�ri �=t.�c�tC £�'irl ��� �� la1�23 � cur� ��2s� «�-c-z�,�rs� <br /> Eledrical COnlrac�or Mail Address City State2ip Phone <br /> 1�`r V i'��I � 1 =F LC- ��� <br /> Stale License Number Conlract Price of Work <br /> S� Nc�c .=�.ar��i�c� i�s � n� �n-br� � <br /> ProposeA Use of Building Conlacl Person (Plan Review) <br /> Descriplion of Work to Be Done: t{I jJ) "Tu-'U C= I�ZL U� r� — <br /> NOTE: WIRING IN NON-DW[LLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that 1 have read nnd examined(his applic��(ion and know the same to be true r+nd <br /> correcL All provisions of laws and ordinances goveming fhis t}�pe of work will be cornple(ed <br /> whefher spec�fied herein or noL The granfin�of a ponnd does no( resume to give aufhonty to <br /> violafe or cancel fhe provisions oI any other state or local Inw reguPting construcfwn or the <br /> perforntance o(construc ion. Th�t 1 am aulhonzed by fh�owner o/Ihis property to pe�fortn fhe <br /> work(or tshich applicati n�s mada and 1 compty with fhe Sfate Confractors Law 18.27 RCIN and <br /> 296.200 iiINAC. <br /> � <br /> t1 /2-��/�`7 <br /> / 1u - <br /> a ur Oate <br /> ��a - � � 5� <br />