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ELECTRICAL ��RMIT APPLICATI�ON <br /> CITY OF EVERE�i'T PE�MiT SERVICES <br /> 3200 CEDAFt STRE=ET, EVERETT, WA 98201 <br /> 425-257-E810 - FAX 42;i-257-8857 —www.everettwa.org <br /> APPLICATIONS ARC ACCEPTL•D FROM 8 AM TO 4 PM I <br /> � <br /> - �� ��� - ----� <br /> ���e? SF �,�.c�f���i�/ lti�.« _ � <br /> PROJECT ADDRESS <br /> � <br /> (1(� � ` <br /> ��c,'Lc' � `����� O d-a /e� �� <br /> Owne� IAail Address Ciry State/Zip Phone <br /> � �. <br /> ��L'���� ��1/1 ��` �<<1,� � _— <br /> Tenant Mail dress Ciry State2ip Phone <br /> %c�i��c,�� E/ec�rc�:�. / ,iUic� � l�`lD5 �'x,/�i�, ,r.. Gv�ti„ ��«`���, 4`�-�l5 <br /> Electrical Contraclor Mail Address city State2ip z p�, �G� Pt�u��G r1 <br /> T�"iVr?iJ r � ej�f K 5'-� /S c%U "- <br /> State License Number Contract Price o(Work <br /> �� \CSZ �n�, C�_ <br /> Proposed Use of Build ng Contact Person (Plan Review) <br /> Descriplion of Work lo Be Done: ��F.�BF�� 6-�l /<{7 T �G✓��7�2-� C [��(�l � C?j'� ��-7 � <br /> I j I �(� I Ii� r <br /> �����C(,.�k'�_IC.�.F.P� C�CfU' I �/v1tll �0�� �/ S,N � Sl•�� '�'Vl <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that 1 have read and examined fhis application and knorv fhe same to 6e irue and <br /> cor�ecf. All provisions ol/aws and ordinances goveming fhis type of work u�ill be complc-fed <br /> whether spec�6ed herein or noL The c�ranting ol a pernut does not resume to give authonty(o <br /> violate or ancel fhe provisions of any other state or local la�v reguPting construction or the <br /> peAormance o(construction. Thaf 1 am authorized by the o�vner o(th�s property to perform fhe <br /> work lor which application is made and I coe�ply�vith the Sfate Contraclors Law 1827 RCW and <br /> 296.200 WAC. <br /> %/ / �/ { %2 . i ) <br /> � � natu - ate � <br /> !� - c � ia- �� <br /> I <br />