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ELECTRICAL PERMlT �P�LICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 –www.everettwa.org ( � —p J .Q� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �;, �71� ��p Z <br /> 32.z2 �mp�AS�(� �` ,`- <br /> PROJECT ADDRESS <br /> � SG P9--�PCQ-�GS <br /> Owner FAall Fddress Cily StatelZip Phone <br /> Tenanl 61ai1 Address City State/Zip Phone <br /> ti2S ��� S�S"� <br /> S�rnM\� C�C�-r�-�� i,vc. 6?.c�3 ��5-�' S1' Nw s�1'�N�°� wA �i5sz�,2 <br /> EleCtriCal ConUactor 1�1ai1 Address Cily State/Zip Phonc <br /> SUMNI IC1 600 ��. � � OUJ <br /> Slafe License Number Contract Price of Work <br /> -r2� P�r_x - <br /> Proposed Use of Building Conlacl Pcrson (Plan Revie�v) <br /> '�lJ�r�'1 U�^^'�_ <br /> Description o(Work to Be Done: w r rC N C�"1 � �"� ���'E <br /> ' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT'ACAL SALES TAX CODE IS 3105 <br /> � 1 hereby ceriil}�fhat 1 have read and examined fhis application and know fhe same to be frue and <br /> I correcL All prov�sions o/laws and ordinances governing fhis type o(wo�k will be completed <br /> whefherspecibed herein ornot The granfing o�a pernut does not�resume to give authonty fo <br /> violate a�cancel fhe provisions oI any other slate or local la�v regulating construc6en or fhe <br /> pedormance of construction. That I am aufhorized by fhz o�vner o(fh�s property ro perlorm the <br /> �vork lor which applicafion is made and I comply wilh the Stafe Contracfers Law 18.27 RCW and <br /> 29fi.200 W�F1 C. <br /> � � NOU � �o� <br /> �— <br /> Signature Uate i <br /> ���. �v� � <br />