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�, <br /> ELEC i RICAL PERMiT A�PLICA�TION <br /> CITY OF EVERETT PERMIT SERVl��S � /3��/ <br /> 3200 CEDAR STREET, �VERETi, W,4 987.01 <br /> 425-257-8810 - FAX 425-257-8857—www.evere!!we.org C l�O 6`Q7U <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��CGL� o� 'u' �4' rl� l�l� <br /> , <br /> PROJtCT:�Giun SS <br /> Owner Mail Address Gty Stale2lp Phone <br /> i <br /> �,l o��af�"/°n�P.i1„�w �c� , - <br /> Tenant �—Mail Address Cily Slale/Zip Phone <br /> � i ��,���4,au� �i�� �-r;lno��k.l�alcs�� /�Aa l,J��'i�1,�WAa�D),2 yd5-S8d/d� <br /> Ieclric2l�Contrector Mail Address Gly Slale/Zip Phona <br /> S�kcTrETS�rY �r��' <br /> Slale License Number Conlract Price of Work <br /> �L�Db� �c ��✓•N._`�' <br /> Propos�d Uso of Buil�ing Contact Person (Plan Review) <br /> Lescription of Work to Be Done: ��'� UD��i a �//�G�f�lt�«/p��f7�H— /7 V�}G <br />` <br /> NOTF:: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> Bc IN RACEWAYS, MC Ok AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 }� <br /> 1 hereoy certi(y ihat 1 have read and examined this applicafion and kno�v fhe same to be frue and (� � I v�— U�(� <br /> correct. All provisions o(/aws and ordinancss goveming fhis typo o!work will be completed <br /> �vhefher specified herein or rwL The grantiny of a permd does not presume to give aulhonty to <br /> violato or cancel the provisions oi an}�other st.a(e or local iaw regu/ating construchor,or fhe <br /> perfomiance o(construction. That 1 arn authomed by fhe owner o(fhis properfy�v pedorrr,the I <br /> �vork for which application is made and 1 comp(y wifh the State Contracfors Law .8.27 R.,N and <br /> 296.Z00 WAC. <br /> `/� � �-I3 � ��ll <br /> -- S� �� Date -- <br /> � � <br />� �.,.�. -�;.�� <br /> — � '. y�� _�y ; , ''�w a..,t b �� '.w,�vo-� <br /> � 'a f a 4 h +., MM <br /> y�' c�I A Y a �i i"'t+-�" '+•�xR��� � '! "A w �."�"'*"�"M�'.�y+Rw„'�'*t`S�Fw xM,t"'�r���..yY'�"� <br /> _ �.e.�r. t�la..���" �c.�r : �i.r . .�*a_-"'7.� .�i_�a. <br />