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•� <br /> Apr il ^OOfl 6: SAFM ALC ELECTRIC 2063E45333 P• � <br /> �LECTRlCAL P�RMIT APPLICA'TlOiel <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425457-88'10 - FA); 425-257-8857— www.everettwa.org <br /> APPLICATIONS ARE ACCERTED FRGM 8 AM TO A PM Y _ ��„J j� <br /> �Z��J W - st ���tC <br /> PROJE�T ADDRESS <br /> ti3�v..�� 'Z�L\5 �.�,,,sZ,_.� �rc . rcvaac�5c� �S�,ZA3 �Z�.�.O` <br /> OVmCf MeilAddmss C��i S[ate2�p Phone <br /> �*'�,W V��] a1TS�a�( <br /> Tenant MailAddresa City SlatelZ� PAone <br /> A �-�A �,� ��s-z._ c1 ����`� �,�cR1��►,� w�.����-� ��.�..5 to� <br /> EleqncalConVactar Mailaddmss C�ny S�a:rlZia Pno:.e <br /> l�I�CE�.C. � q�o�Q �a50 — <br /> Stale License Number Conlract Price of Work <br /> Proposed Use oi 6uilding Contact Person (Plan Review) <br /> Descrip6on of Work to Be Done: <br /> �e.s� Q�� <br /> I -- <br /> �, � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FFE Ij <br /> BE IN RA.CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERE7l'LOCAL SALES TAX CODE iS 3105 <br /> I hereby ceitity thai I havo road ar -i oxaminod this appfication end know the same fo be true and �C.� '�`'��� �"� � � <br /> correcL A!!prous.uns et/aws and ardinances govommq thls type of wortc w!Il be complotetl <br /> wirether s,oeci�ed be�ein ornot. The grantrng ol a pemnt does natp resumo to give auJronty lo <br /> violate or canc�e!the provisions of any other stete or local fon-�egulaGng cons W c0on or the <br /> peAomiance of constniction, That 1 am au(honzed by the owner of th�s pr�perty fo per!'omi the <br /> �+rork lor which applicaL'on is made and l wmply with!ha Stafe Ccnfrpc:ors Law 18.27 RCW and <br /> 296.200 WA . <br /> I - �� � <br /> S�g�aWre - Date <br />