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� � <br /> i <br /> �� ELECTRICAL PLRMIT APPLICi4TION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � _a�j _C(, <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> � O 60�1._�D3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 APA TO 4 PM <br /> /zoo irar�sm� sr - d�oh � <br /> PROJECT ADDRESS <br /> rA�arror/i J�fvE�,r� ,✓r /!�/vP��'�/rr�/!/.Oi', %d,�ri�.9 �!/4' 9f��.B' <br /> Owner Mail Adtlress City State2ip Phone <br /> � �o,�,,D o ��� ���y.sr-�a � �,� �� sg�og <br /> Tenant A1ailAddress Clty State/Zip Phone <br /> I I - I Ma h I C r.� P n Rnx 9R4Q R dm ri U�A QA(179 495-RPS-91(10 <br /> Elecl�ical COntt3ctOr Mail Address Ciry SlalelZip Phone <br /> UNIVEMS01aKQ ����� <br /> State License Num6er Contract Pnce of Work <br /> O/Gi���ir/�i+r&iYfl'//s6 -�•f� �`�'as�e - �/as-�25- 9/Bt7 <br /> Propos,d Use o(Building Contact Person ;Plan Review) <br /> Description of Work to Be Done'. I✓Srqt� 3 tvr..� {���n4/� TsraTs u y tou� Usarqaj� �1,�15�5, , <br /> NOTE. WIRING IN NON-DWELLINGS IS REQUIRED TO FEE `�, <br /> BE IN RACEWAYS, MC OR AC CABLE. �) � <br /> � ���� <br /> CITY OF EVERETT LOCAL SALES Tt1X CODE IS 3105 � �\Z��� <br /> 1lrereby cert�ly that f have read and examined this application and kno�v fhe same to Ce !rue and I ,J ;���' <br /> correct. All provisrons o!laws and ordinances governmg this type o�work will be complated �' t� <br /> �vhether specified herein or noL The granting of a permd does not presume to give a�thunty to � ���`•\�`�`' <br /> wulate o�cancel Ihe provisions ol any other srate or local law regulating construction or the �� • ,�„� <br /> perrormance ol construcfion. Thaf 7 am authorized by the o�vner o!fh�s property to peAorm the (�� \ti -7 <br /> �rork 7or which applicatwn is mf7de ynd 1 comply�vith fhe Slafe Conlractu�s La�v 78 27 RCW and {7 ) <br /> 2?6 200 WAC. / � �� � I v <br /> -- / "Z� I �` � <br /> I9gnalurd ' D e �C1, i <br /> ( i 1 <br /> V � <br /> I � <br /> I - - <br />