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� ( <br /> ELECTRICAL PERMIT APpLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200CEDARSTREET, EVERETT, WA98201 �(,���Z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org ����6/ <br /> APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ti-'Tl TrcA�st,Iy�jy Fve[ett WA 982Q3 <br /> PROJECT ADDRESS <br /> Marc Zea� 18 Bracken Fem Dr. NfJ Gi Hart�' ldA 98332 2a3-857-9266 <br /> ONTIef Maii Address Cily Stale/Zip Phone <br /> Tenanl Mail Address City SlatelZip Phone <br /> 4nith Fira $ycta� htar��„11 f 11(1fi 54Ph Avt� E Taarn� wA 9R4?4 253-248-2000 <br /> EIed�Cal COnlradof Mail Address Cily SlalelLp Phone <br /> 4V117HFS947LP �_1896.00 <br /> State License Number Contrad Price of Work . <br /> Gale (�rin 253-248-2007 I <br /> Proposed Use o(Building Conlacl Person (Plsn Review) <br /> Square Footage(If residential new conslruclion,remodel or addition) <br /> Descriplion of Work to Be Done: _ PPn�irs to Fire Alann Control Panel - F� �.h.n 5�1a y <br /> NOTE: WIRING IN NON-DWELL!NGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVEP.ETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certily thaf/have read and examined this application and know fhe same fo be lrue and r ��'�D�- U� ( <br /> correct. All provisions of laws and ordrnances governing this fype o/work will be.compleled l� <br /> whefher speci�ed herein or nol. Tlie granting o/a permd does not presume to groe authority fo <br /> vio/afeorcancelfhe provrsio otanyotherstateorlocallawregu/atingconstrucficnorthe <br /> peAormance o/constructio . That I am aufhorized by the owner of this propeAy to perform the <br /> work lor which�appl' ation made and I comply wilh the Stafe Conhac(ors Law 18.27 RCW and <br /> 296.200 W9C. : <br /> � , , � - � D � • 20/� <br /> � Signature Date <br />