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� � <br /> ELECTRICAL PEf':',�IT APPLICATION <br /> CITY OF EVERETT ��w��%�MIT S�ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 II O _�� <br /> 425-257-8810 - FAX 425-257-8857—wvrw.everettwa.org y —�- <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���� —I �O <br /> � y0 8 / n rz�v�r-�� �1 c/�° — <br /> PROJECT ADDRESS <br /> /yo`d Lv�� �� <br /> �.�,� � TP �Ps� („��lso �, ��� �t c��e 9gz� � <br /> OWner �TPr �— MailAddress Qty StalelZip Phone <br /> Tenanl Mail Address City Slate/Zip Phone <br /> �v 512. c1 �'�r�r�eti w p43o zs-�/22 Z9�S^d <br /> ���.1 A�P.h Ir'iMil j"✓�ere�T_ ��Ya �/�2 y <br /> leCl I Contfaclof Mail Address City State2ip Phone <br /> 1�KrGN��9 77 GL �3 o a�� <br /> State License Number Contract Price of Work <br /> S �/✓ <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descriplion of Work to Be Done: Q���dGt?L/� i ��Q (1a'�� / �/� Ss�l�— <br /> CdrAtt�v�s� I <br /> �;ns uL�3 � �� f {�,�T�v�.c�: ��r . '�' �(� r Conl-rac Iv/ a-,n��c�v✓ <br /> �a�e UCut ��� 1-a 1 :, , _!e <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 /> I hereby certify that I bave read and examined this application and know fhe same to be true and � ..,i (_ I�� <br /> correct. All provisions o(laws and ordinances governmg this type ol work will be completed �Zv-1 <br /> wbefher speci(ed herein or noL The granting of a permrt does not presume to give authonty to <br /> violafe or cance/(he provisions of any other state or local law regu/ating construction or the <br /> perlormance of construction. That I am authonzed by the owner o!this property to per(orm fhe <br /> �vork lor which applicafion is made and 1 comply with fhe State Contraclors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 0 Z� �Z <br /> awre Da <br />