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tLF_CTRICp,L PERMIT APPLICATION <br /> CITY c�F EVERETT PERMlT SER�vICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-2�7-8857 � www.everettwa.org <br /> R _as-o8 <br /> APPLICATIONS ARE ACCEPTED FROM R AM TO 4 PM <br /> � <br /> � <br /> �1�'�� �y�•: c�- ;����'� <br /> PS270JECT ADDRESS <br /> O�vner Mai Address Ciry State:Zip Phone <br /> Tenanl Nail Address Gty Statc2ip Phone <br /> Eleclrical Contrector Ata�l Address Ciry Stala2ip Phone <br /> State License Number Contract Price o(Work <br /> Pwposed Use of Building Contacl Pcrson (Plan Review) <br /> Description of Work to Bo Done: ��/�N � ��-��Z��'�,'.�(��P.C4 .�i � � � � <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I 1 hereby certi(v Ihat 1 have read and examined fhis application and kno�v tlie same fo 6e trun, and <br /> corroct. A!1 provisions o/laws and o�dinances c�overnmg fhis fype of work a�ill be comp/efed <br /> �vhether speafied herein or noL The granfing o(a pennd does nof presume to give authonty fo <br /> �io/ate or cancel the provisions oI any ofher stafe or local law regu/ating cons!ruction or the <br /> pe�iomiance ol construction. TOat I am aufhonzed by fhe owner ol ihis property fo perform fhe <br /> �vork lor which application is nrade and 1 compty�vi(h fhe State Confracfucs Lan� 18.2 i RC W and <br /> 296.200 WAC. <br /> �, r. , <br /> / ligi Wte Date <br /> ' ��h'0`t-l5 �) <br />