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, . , . _ %� ' � �}�`-�+' ��afi�•.�,��•�I �� . u <br /> ELECTRIG/1L PER6�IIT .�PPLICATION <br /> CITY OF EVERETT PERMI f SERViCES 30 -O 7 <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257-881 C - FAX 425-257-8857—�w�rv.everettwa.org 0�0 y��� <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> ; D�a7 ff���� I�� . <br /> PROJECT ADDRESS <br /> ��.-i2 /'�/'�o /,��. <br /> OWnef MailAddress City S�ale/Zip Phone <br /> (�/� �— <br /> Tenant `4aii Address Cily StateiZip Phone <br /> ��// CJ��L%�1G �� �"h /jf �/�1"Ho �c/SfF Wf� /�7i /� 3t.v '70/ . <br /> Ly J <br /> EleclricalContractor MailAddress City State2lp Phone <br /> % �/->�L�- � 7Zr-� 8 S SOO'r'r — <br /> Stale'.icen;e Number Contracl Price of Work <br /> � • <br /> S,oy �C �<f-.u/Ly �FS� (�fr> cc> <br /> Propos Use of Building � Conlact Person (Plan Revic.v) <br /> Doscription of Wark lo De Done: GU' � � /� �� /— w� z � �� ,A "�'�f <br /> G� V� �If�✓{-� S-�rQ✓ I e_� �o�i�L t T� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F�[ <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LUCAL�ALES TAX COOE IS 3105 <br /> 1 hereSy certily thaf!have read and examinn,d this application and know the samo fo be frue and <br /> correcL All provislons ollaws and ordinances govern�ng this fype ol work will be complefed <br /> whefh.ar specified herein or noL The granfir,g ol a pemuf does not presumo to give authonty t� <br /> violafe orcancellFe provisiuns olany otherstafr,orlocallaw re�u/ating consfrucfion orfho <br /> pedom,anca ol cons(ruction. That 1 am authonze.i b,fhe ow„er ol this property lo pedom�Ihe <br /> work lur�iiiich applicalionls made and 1 comply with i'�e Stafe Contractors Latv 18.27 RCW and <br /> 2sr>.zoo wac. <br /> �� �. "1 J-- �/. �U . p 7 <br /> Slpnatum � �ate �� <br /> .,;��� , 1 <br /> � - , .� . — _,_ _ � m_ __ - <br /> :�.��- _ .� .� s. ,.:;. <br />