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, ' � <br /> ELECTRICAL PEFtMiT APPLICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org /`G `,Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM f /��2`/iF3 <br /> c. <br /> IZO1 6� EVEW'zrT ,�a�w �. h� <br /> PI�OJECT ADDRESS <br /> FVF�7.i.fr yN4LC.. Oi LLC. )34�10 ��xr�RA �wo srf. 7127 SN�c�1v+J Uc�cES L4 �1�u23 <br /> Ovmer Mail Address City StatelZip Phone <br /> ��F�i6� v++au, P�*2tF i2oi S�Fv��rr �+�t4u.ca'+4 Ev�aa[I �J�+ R 'w,ol� 4Ls-y9S-r9�oz <br /> Tenant Mail Address Qty State/Lp Phone <br /> dwu,a nl�vFl A� ��Q�x�. Pua�.e �� �+�K�u�o (.J� 48zZs yz5•awy•sovy, <br /> Eledrical Contractor Mail Address City State/Zip Phone <br /> AavtLJ r-oy�{—OD �.2598?.s�3 <br /> Slate License Number ConUact Price of�;Jork <br /> ��rl T�=��'r �Are�c� ,�ou)� <br /> Proposed Use of Bwiding Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: /CE7X�F�r ('Y�r( <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cedi/y that I have read and examined this application and know the�ame to 6e frue and ✓_ /I `J3 <br /> conect. All provisions ollaws and ordinances govemmg this type o/work will6e completed l/ �Z— � <br /> whether specifred herein or not. The grantmg o/a permd does not presume to give authonty to � <br /> violafe or cancel the provisions o(any other stafe or local law regulating consfrucfion or fhe <br /> peAormance of constniction. That 1 am authorized by the owner o/this propeity fo peAorm the <br /> work/or which application is made and I comply with fhe State Contractors Law 18.27 RCW and <br /> 296.200 W . <br /> ; /a-a�'��/ <br /> Signalu e Dale <br />