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osiz�izou 14:53 r:�� ass a;; i��c as� �i.ec��iuc P�ooi <br /> ELECTRICAL PERMI�' APPLICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 , , <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org '� - � �" �' <br /> APPLICATIONS ARE ACCEPTED FROAA 8 AM TO 4 PM _ - <br /> �DGII a f�a<<y71 (Lt�� <br /> PROJECT ADDRESS <br /> ,l„�rDS � 2 %���� �i.✓.N���,��9A�6 �I ZS�63-Sboa <br /> or MailAddiess Clty SleterLlp P�� <br /> �Rm� <br /> Tenant Mau addiess �Y S���P �10� <br /> ���c ��e�r� �rv�c� ui,z����-N� L�k�Sfe,u,�s 9�iz�0 �fz�-�rz-��� <br /> EledricalConlrador ManAddress Clty S�� P�10f0 <br /> ����s�Gi,vy f�a3 S ,�o <br /> State License Number ontm Price of Work <br /> /N�/70USE <br /> Proposad Use of Building Contad Peraon (Plan Review) <br /> �escription of Wortc to Ba Done: ��J�RGE ��Q Inl �//�/ W��� /�pi LJ 7�CL—�/ ��T <br /> 1 �lS r e ,' F.s i,�✓�L .�.�� /� / <br /> r : /-'�' <<'_� <br /> NOTE: WIRING IN NON-GWELLINGS IS REJUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> I CITV OF EVEREiT LOCAL SALES TAX CODE IS 3106 � <br /> I horeby cortily that 1 heve read and oxaminod fhis appliceflon end know fhe seme to 6e fn�,�.ad �' r G�j - �J `) <br /> caiact Al/pro�isions of laws end ordinances povemrng t6ls rype ol woik will bo.00mple:ad �-- <br /> whefherspec�fied hero/n ornoL Th�granG�nc�of a permd doos nof p�esume to g�ve eutliority(o <br /> violateorcancollhe provision$o(anyofhorstetoorlecallawrogu/e(ingconsUucfionarthe <br /> perfo�mance olco+rsUucfion. That 1 am oufhorized by fho owrrorollhls property to pedorm tne <br /> ��nrk for wh/ch npplrcetion!s mada and l cvmply with Ihe SWte Confroctors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��i�!Lr � ur��9�Zo /� _ <br /> nature e� <br /> --------- -- --. _.. _..-- — <br /> . <br /> t;,.. <br />