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— -- — 1 <br /> I <br /> ELECT�?IGAL PERMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8310 - FAX 425-257-8857 —�w✓w.everettwa.crg <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM I <br /> ; <br /> � <br /> '������ I 'G� �UP, t_�IP�� � <br /> PROJECT ADDRESS � <br /> r <br /> `���t �� �l�flt' � �'�n�� �P(-�V�� � - �� pk FVe�P� �1�1`�• _ I <br /> I� O�,vner Mail Atldre�� City StatelZip Phone I <br /> I <br /> I <br /> � <br /> Tr.nant M11ail Address City StatelZip Phone ' <br /> ' " ' �' �al�, _i���5�1 <br /> �.�.���=��F1� r-�-���«�1 ��v« fr3�-��ZCf�= P�_ -,�, < <br /> Eleclrical Conlraclor hlail Address City S�ate.�Zip /Q,�) \ �1���1�➢C� ,� I <br /> ` J O` CJ <br /> "�� ������`� ��� � <br /> State License Numl�er Contrac:Price ef Work <br /> P�1� Nl( � - <br /> Proposed Use af Buildinc� Contact Person (Plan Review) I <br /> Uescription of Work lo �e Done: ��1.� `��V` �t'� - �� � � ri \�LL1"\ ��� <br /> ���� �f �-� 'CPk+`rY�P V � <br /> NOTE: WIRING !N NON-DWELLINGS IS REQUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br />' CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat I have read and examined this applicalion and kno�:fhe same fo be true and <br /> correcL All provisions o(laws and ordinances govenung this f}�pe o!�vork�vill be completed I <br /> �vhether specdied herein or not. The granfing o!a pernut does nofPreswne to gice aufhonry to <br /> viulafe or cancel the provisions ol any other state or local law regu aling consfr'uchon or fhe � <br /> pe�fermance ol conslrucfion. Thaf 1 am authorized by fhe o�vnei ol ihis propert}�fo per(orm the <br /> �vork Ior which application is made and I comply with fhe State Contraclors Law 78.2, RCW and <br /> 29G.200 WAC. <br /> .%-��-: ,ti�`� <br /> �- / , / � j11 � <br /> ��—•�_.'= o,ic <br /> ti�r�nnt�.�e _- <br /> _- - <br /> � G jG3-C(p1 <br /> _ . -------- <br />