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ELECTRICAL PERMIT ,QPPLICA�'ION <br />CITY OF EVERETT PERMiT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICA"fIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />✓02 �,:,,,/'�=:y' �'"�i � :/Ji'✓ <br />� � <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />�� <br />�_ <br />I (,` /1- : ) ' �.� ; � �(/�_� / �— , (_ � �. <br />M19aii Address Ci�y <br />�`�� E���A<<= <br />Mail Address <br />a <br />Conlraclor <br />,1,�!>�q . <br />Mail Address <br />S�l=�JCi I `��?�7 <br />State License Number <br />Cily <br />%/S <br />City <br />Proposed Use of Building <br />„ . -, <br />Descriplion of Work l0 6e Done: �% U� �" " �t� � '' (� �V�' �� <br />NOTE: WIRING IN NON-D\NELLINGS IS FEQUIRED TO <br />BE IN RACEWAYS, MC OR AC CADLE. <br />State/Zip <br />Sl2l /Zip <br />�- -, <br />r�c, Z1�' <br />'Fli�o/'�'� <br />State/Zip <br />Zr <, o <br />Contract Price of Work <br />Pltone <br />Phone <br />`'3�1 <br />y �/J /�(.� <br />Phone <br />o�r,�2 <br />4. � rJn� 9[�� Z�3ha2, y 3 �, y <br />Conlacl Person (Plan Review) <br />�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3505 <br />1 hereby certily Ihaf I have iead and examined this appiicafion and kno�v the same ro be true and <br />conect. All provisions o( la�vs and orAinances �ovemmg this fype ol work will be completed <br />whether spec�fied herein or noL The granting o( a pennd does not resume fo give aufhonty to <br />violafe or cancel the provisrons of any odier state or local law reguPting consWr,tion or the <br />perfornwnce o/construclion. That I am autho�ized by Ihe owner o( Ihis property to peAonn fhe <br />�vork lor which applicafion is made and I comp;y with fhe State Conlractors Law 1827.2CW and <br />296.200 WAC. <br />/,�/�-�� es�/� �, �� <br />7 L = ,� -�,�.✓;_ <br />FEE <br />�� � �{� C <br />1=,� ��`' `�� �� � <br />