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�J . • . / i � I � � :f �. � ] Y 1� <br />I�C. �'(�� �. � <br />ELECTRICAL PERMIT APPLICA�ION <br />CITY OF EVERETT PERMIT S�RVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-Ba10 - FF,X 425-257-8857 - vNnv.everettwa.org <br />ApPLICA710N5 Al2E ACCEpTED FROM 8 AM TO 4 Pp11 <br />�!3 rria�`�v� Ev�v2,tt- ggzo7 <br />PROJECT AbDRESS <br />�`111 �Ol��'tiPDiS SGUti�.e.. QS � <br />ovvner Matt Address �;�y <br />Tenam <br />1��ao nddrose <br />S��ea-{ir� Inc i'+i5 � <br />Coniractor 1 rdei� q4dress <br />-Cm��4��r� �ao�aR <br />State L�CenS? hlumber � ' '— <br />Proposed Use ot Building <br />Descriphon of Work to De Done: <br />fJOTE' WIRING IN NON-DWELLINGS IS REQUIRED TO <br />6E IN RACEWAYS, MC OR AC CA�LE. <br />Gty <br />Qly <br />CITY OF EV[RETT LOCAL 3ALE5 TAX CODE IS �105 <br />I hereby corf�fy (haf I havo read pnd examined this apphcofion , nd knov� �ho <br />correcf AU provisions olla�vs and oidinancos povomrr,g (hls typo c7 waN w, <br />v:holher speci(red herein ornoL Tho granhng ol a ponnr( doos nof rusumo <br />viofafe or cancel 1ho provis�ons ol any other sta�o orlocal �aw reguPfing con <br />pe,yorman�o ol constroc(ion. That I nm aufhodzed by (ho o�vnera/fhis prop <br />work lur �;hich applicallon is made nnd I compry w/fh Ihe S(afe Con(racto�s C <br />29G200 WAC. <br />0 <br />z Z� <br />Stale/Zip <br />Slate2ip <br />Slato/21p <br />zsd � <br />Contract Prica of Work <br />Contact Porson (Plan Rpview) <br />� to bc Vue artd <br />compAvfod <br />+e au(hor;ty to <br />Gon or Na <br />o po�form fhe <br />8.27 RCW and <br />�� <br />FEE <br />�D�� <br />�(3(0-12� <br />Phcne <br />PhOne <br />Phone <br />