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f . <br /> ELECTRICAL PERI'ViIT APPLICATION <br /> CITY OF EVERETT PEFtMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 Ja--2�IJ <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C I �,Z��O <br /> APPLICATIONS ARE ACCEPTED FRGM 8 AM TU 4 PM <br /> / SjS L�Mc3RRD Av� <br /> PROJECT ADDRESS <br /> S�IE RT ,s,s c.o� �RRD /�-vG �� �`'� �'8z.el v� �'Yy-7�s3 <br /> Owner Mail Address Clty State2(p Phone <br /> Tenant Mall Address City State/Zip Phone <br /> �G i �C.�,ci e� rNC <br /> Electrical Conl c!or Mall Address Cily Stale/Zip Phone <br /> M�C���✓�,co a 3 iVS — <br /> State License Number Contract Price of Work <br /> SF1Z <br /> Proposed Use of Building Contact Person (Plan Review) <br /> R�wc2F �jCsr.f r ir�i� s•��2 �-'-oo l� <br /> Descriplion of Work to Be Done: , <br />�1 <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 here6y certily thaf 1 have read and examined this application and know fhe same to be true and �O <br /> correct. AI�provislons ollaws and ordinances goveming this type o(work will be completed � <br /> whefher specified herein or not. The granting ot a permit does not�resume fo give authonty to �� <br /> violate or cancel the provisions of any ofher state or local law regulafing construction or the � I <br /> perfomiance of construction. That 1 am authonzed by the owner o/this property to perform the �11 <br /> work lor which application k made and 1 comply with the State Contrectors Law 18.27 RCW and � <br /> 296.2G0 WAC. <br /> ...�� �`�i� / z— ZZ—�� <br /> ' Signature / Dale <br />