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� 4 - �� ��� <br /> � — <br /> E�EC�RIGAL PERMIT APPLICATIO�tV <br /> CITY OF EVERETT PERMlT SERVlCES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 " <br /> 425-257-8F10 - FAX 425-257-t3857 —www.everettwa.org _���� <br /> ����� i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> /'� � l �� h'�', �� � � �fs�v�� <br /> 1( ;-� � SC —r_ v� re ; � <br /> PROJECT ADDRESS <br /> ���F� <br /> lI � l <br /> ; 1,,,�� ` �' l �1 %�'7 �� ���% .�✓JCN •MiSli GyIQ g�ol��c Y��e - �ai 3 <br /> Owner � Mail Address Cily State/Zip Phone <br /> Tenant Mail Address Ciry StatelZip Phone <br /> ��-"�.� <br /> /��"_ f "-(-' 7 �� .�f ( 77Vb ��� `�J� �i � Y lI` /1��.EG �r�/ ' ` J/f /6�J4.'rJ �.f"i-��ol� <br /> Eleclrical Contr2cior Mail Address Ciry State/Zip Phone <br /> .L�,�RAsr�%c�Z� L- 9v7 c�v , -- <br /> State License Number ContraTPrice of Work <br /> jr':>f��l,'6�in � 1C�S7�C/1Ct�a� �t � � Si'- �0�) ��r] `rS'� �/� <br /> P�bposed Use o(Bu�lding Contact Person (Plan Review) <br /> Description of Work to Be Done: ����-s��i iii�i l c�rll�r��� S ��o �f�� (n�z -..� ��� <br /> .� ,�, ., <br /> NOTE: WIkING IN NON-DWELLINGS IS REQUIRED TO FE�= <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �i �.�r- _ �CL, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify fhat 1 have read and examined lhis applicafion and kno�r fhe same to be true and <br /> cor�ecL All provisions o(/aws and ordinances govern�ng this fype o(�1ork will be completed <br /> whether spacdieA herein or noL The granting ol a permrt dncs not p�esume to give aufhonty fo <br /> vio/afe or cancel the provisions o(any otlier sfate or local la�v re�ulafing cons(ruc6on or the n �' <br /> pe�formance o/consfruchoa That I am aufhorized by the owner o(this property to perform the /l J/ l <br /> work tor which application is made and I comply with fhe Sfate Contractors Lew 18.27 RCW and / I" � � <br /> 29G.200 WAC. �r5fl�� <br /> / . � �U'f �— `���C� � <br /> SignaWre Date <br /> ; �uC '�- l;5'� <br />