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� ;i�i,� <br /> ELECTRICAL PERMw � A,PPLlCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —v,�vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ' ��� —����'= <br /> ?,�,��; J���5��,� p-u� <br /> PROJECT ADDRESS � <br /> � � 1 <br /> n " , <br /> i <br /> i � <br /> I <br /> � �,fi ��,�����._,-��� � � <<.-��f` �, �'� y.�s-��� ���i <br /> Wne� I,fail Address Clly State'Zip Phone <br /> Tenanl t.lailAddress Ci�,: Slatr:Zip Phone <br /> 1 1 <br /> � -I�-,r,� � � �,�''t L ��/n�vu,-;-t�( W7 ��E -�SS c�o-7 �� <br /> Eleclrical Conlraclor Atail Address Ciry StatelZip Phone <br /> rj •, .� <br /> � �����1= °�� 7 �.� �o � �� �� <br /> Slate License Number Confracl Pr' e of Wort: <br /> Proposed Use of Buildinp Contacl Person (Plan Revie�,$) <br /> t V <br /> Description of Work to [3e Dona Y C � � �n1 I 5 �i�_�_j ���-� i�� <br /> / � <br /> -� - v <br /> � <br /> f1 � <br /> O\ ��P�J.: 1�U c T �'�i S ��S <br /> NOTE: W IRIIJG IN NON-DW ELLINGS IS REQUR.ED TU FEE <br /> BE IN RACEWAYS, �viC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i 1 he�eby c.ertily tha(I Bave rend and examined fhis applicafion and know fhe same to be true and <br /> conccf. All provisions o/la�vs and ordinances govemmg this fype o/work will be completed <br /> whether spealied herein or noL The granfinc�ol a permrf does not presume to give aufhonly to <br /> violate or cancel fhe provisions olany other sfate or locallaw regulafing consfrucfion or Ihe <br /> p�dorrnance oI consfruc6on. Tha(1 am authorized by fhe o�rner o!this property to perfomi Ihe <br /> work lor which application is rnade and I compty tvifh fhe Sfafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> l ' , I__ <br /> , , � _ <br /> .%� r � ., �.� �, � �� � <br /> 61gn��wr D te <br /> ;' � ✓ <br /> C.�'�,• .� %/ I <br />