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f _'—_ <br /> I <br /> ELECTRICAL PER�JIlT APPLICATI4N <br /> I CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /� G��a <br /> l%IC�!`�� �C�� � I.�c�v��X>r-� � <br /> PROJECT ADDRESS <br /> GO� Ma:l Address City Stale/Zip Pha e <br /> Owner <br /> Tenant Mail Address Cily SratelZip Phone <br /> I <br /> S� t� ��c ti,u►��� a,�� �„�- w� a€��Z��� <br /> Elechical Cont�acto� Mail Address City StatelZip Phone <br /> AAL L.lal.l V L G�?JZ (.,.�� �o�-X'�� . — <br /> State License Number Contract Price of Work <br /> � fI�' L�.�u �n <br /> irYc'-�t�rJ✓l <br /> Proposed Use of Building Contact Person (PI�R view) <br /> � � "13 �� <br /> � a�- S� r — `FSQ� <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: l (�S{�x�v�c��� � "' � � G���^ �al 1 dY-� C <br /> � I <br /> NOTE: WIRING IN NON-UWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I I � S- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I1 he�eby certily(hat 1 have read and examined this applicafion and know the same ro be true and � � � ' I �� <br /> r,orrer.L FlII provisions of laws and ordinances governing fhis type of work will be completerl �I? <br /> I �vhefher speciGed herein or noL The g�anling o/a pennd does nof resume to give authonty to <br /> vrolate or c �cel tRe provisions o(any olhe.�state or local la�v reguPting construchon or the <br /> � perform c ol consfrucfion. Thaf I am authorized by the owner o(this property ro perlorm the <br /> ivork( r v ch applicalion is made and 1 compty�vith the State Contractors Law 18.27 RCW and <br /> 296 00 AC. <br /> ' � 2f Zol <br /> 5 a ure Dale <br />