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ELECTR��AL PERlei11T APPLIC,�►��VN <br /> CITY OF EVERETT P�RMAT SERVICES I�`� � _o� I <br /> 3200 CEDAR STREET, EV[RETT, �NA 98201 <br /> 425-257-8E10 - FAX 425-257-8857 -www.everettwa.org f D 6���✓g(� <br /> G" <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -l'_��U l� �'�I�Z ��CZ ��L� <br /> PROJECT ADDRESS <br /> il �(f �i Il {/f l� rl/i���li�i� �U�v �-���1.i I//L/%� G'li�(�r;i.�� G �� %:i�U/ l���'� �f <br /> Owner Mail Address Ciry � Stale2iF Phone <br /> ��.��.'-7 L� <br /> Tenant Mail Address City State2ip Phone <br /> % % J f� � / ,� <br /> -'„"-'-'-� `=--'-i� 1� .:-�'r-+-t-Zw 1�-.L.�t-'� �1�'— v(�,.rl/1..��_, <br /> ��-- <br /> Electricai Conlractor Mail Add�ess City State/Zip Phone <br /> Slate License Number Contrect Price of Work <br /> , <br /> �� i� 'e'l`�L': ;'i Il L �t'� 1� — <br /> Proposed Use (Building Contacl Person (Plan Reviea�) <br /> � r � <br /> Descriplion ot Work to Be Done: �� �l��` �, /;� 1' l.:����6^c�v{oi �"�`� ��/'Z�l����c> <br /> � NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I <br /> � <br /> � CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby certily that I have read and examined fhis applicafion and know fhe same to be true and l= �4'`�"���C <br /> correct All provisions olla�vs and ordinances govemmg this type ol work will be comp/eted <br /> whether sper.ilied herein or not. The,qranting o(a pernut does not presume to give aufhonty fo <br /> violate or cancel the provisions ol any ofher state„rlocal!aw regulating construchon or fhe <br /> perfcrmance of constn�ction. That 1 am autho�ized by the o�tivier o((his property fo perfomi the <br /> work lor�vhich applicafion is made and I cornply wifh fhe Sfate Contractors Lo�v 18.27 RCW and <br /> 296.200 WAC. <br /> � �� � � � — <br /> � � / <br /> i � ; ,, ,',���.�i.:: � l �������� /// l(��. (— <br /> SignaWre Date <br />