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_—� <br /> ELE��'RIC�4L PERMIT AR@�LIC�4TiOf� <br /> CITY Oi= EVERETT PERMIT SERVICES 7�a�_� <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425�5r-8810 - FAX 425-257-8857—www.everettwa.org �rlD -7��(II <br /> Il <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ( `�?1'1 (�owc� �u-e- � <br /> PROJECT ADDRESS <br /> ��E� -- � fZE-S K{= - " Zo6-�lS- � SBC- <br /> Owner MailAddress Gty State2lp Phone <br /> % <br /> Tenant Mail Address Cily Stale/Zip Phone <br /> �GT- �,- EI�G�L �'DD3 �O�' ��- �� ��v��7 - l/.� �� �' �Z�l� <br /> Glectrical Contract�r Mail ACdress City State/Zip Phone <br /> 00 <br /> �ay-�e���c;�DU,n,LC� �-oD0 `� <br /> State License Numher Contract Price of Work <br /> �,. F- iZ - <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description o(Work to Bo Dono: `� �'`� ""�' �� �^ 5 F 2 ���� S 4 �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceAify that I have read and examined this application end know fhe same lo be fruo and � 11 �� — j�( <br /> cor�ecf. All provisions of laws and ordinances goveming tliis fype ef work will be complefed <br /> �vhether specifierl herein or not The granting o(a pernut does not�resumo fo give aufhonty to <br /> violafe or cancel the provisions o(any other state or local law regulaiing construcffon or fho <br /> perfomiance consfruction. That 1 am authonzed b the owner of tlus property fo perform fhe <br /> work lor which application is made an �ft (he Slate Con(ractors Latv 18.27 RCW and <br /> 296.200 AC. � <br /> 1 '� -Z:� �Z�l ( <br /> Signa ure ` Date <br />