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� <br />ELECTRICAL PERNlIT APPLICATION <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.J �e2 % �C,OG�/EGL M7 <br />PROJ�CT AUDRESS <br />�_��-�9 <br />��ayo z-r �� <br />(y�J �23-9.6�3 <br />_}�l�L ��SA� .�'!27 .Coa�Eu� L1r�nB-r7 li�a �87�/ _ <br />O��vner Mail Address Ciry StatelZip Phone <br />Tenant <br />Mail Address <br />Eleclrical Contraclor Mail Address <br />S� <br />State Llcense Number <br />s�-,�� <br />Proposed Use of Building <br />City <br />Ciry <br />State/Zip <br />State2ip <br />Conlracl Price of Work <br />✓Ay i�/.lS� 89�-76iZ <br />Contacl Person (Plan Reviem) <br />Phone <br />Nnone <br />Description of Work to Be Done: //N/$f/ E✓GL i7�/�T�� ���/�7 ��o �i-Z�'o69 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LGCAL SALES TAX CODE IS 3105 <br />FEE <br />I hereby certily t'iat 1 have read and exas�ined this a,vplir.afion and know the same to be frue and <br />co�recG All prov�sions o�laws and ordi��ances govenung this type olwork n�ill be completed <br />whether specdied herein cr not The g�anfing oI a pe�md does not resume to grve authonty to <br />violate or cancel the provisiorrs olany other sfate or luca! law reguPfing construction or the <br />peAonnance o(consfruc6on. That 1 am authonzed b}� the owner o/ fhis property io perform the <br />�vork lor which applicafion is made and 1 compl;� :..C; the State Confiactors Law 18.27 RCW :�nd <br />296.200 V✓AG• <br />c <br />� <br />'Y J� r <br />�V��.a,o� ( <br />