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r- -- - - -� <br /> FLECTRICAL PERMlT APPLIGA'TIO�1 � <br /> C17Y OF EVERETY PERMIT SERVICES <br /> 3200 CEDAR STREFT, EVERETT, �NA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / ` 31 �/ <br /> �e <br /> �-T�,��1 j�/ �� Iti, � � <br /> I Fi20JECTADDRESS <br /> ��p��_ ��� � �� �� GG� ��� � -� <br /> OVmer M11ail Address City Stale2ip Phone <br /> Tenant Mail Pddress Ci� Stale/Zip Phone <br /> i <br /> C'_1��,��s �l� � � 73� a 5 0 � /� .v�� s �,,��^��� �� s�zrz <br /> ElecUiral Gon!raclor Mail Adtlress Cily State/Zip Phone � <br /> ��{,C �� �3 � �'� ----�---" <br /> Slale License Number Contrect Price of 4Vork <br /> r <br /> �c S' <br /> Proposed Use of Building Conlacl Peison (Plan Review) <br /> -�1 <br /> Descri�tion of Work to Be Done: �C� {���`n �r�ry�� �G�L� 7' y <br /> / <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> E3E IN RACEWAYS, R4C OR AC CABLE. <br /> j CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � 1 hereby cerlily Ihaf I have re�d and examined Ihis application and know fhe same lo Ge true and <br /> correcL All provisions ollaws and ordinances goveming this type ol work will be complefed <br /> whefh rS�Cci(ied he�ein or noL The gr.�ntinq o(a pemut does not resume fo give authonty to <br /> �iolu or cancml fhe provisions olany other sfafe or local(aw reguPting construction or fhe <br /> pe�f,nnance ofIconsfrucfion. That I am au �orized 6y fhe owner of Ihis preperty to per/onn fhe <br /> woi;for which+�pPlication is made ar fl j �mply with the S(afe Contiactors Law 18.27 RCW and <br /> ! 29f 200 WAC.� ' /� <br /> � ' ���1 -�-= /-3i - ���L,, <br /> , <br /> ��G'� / <br /> SignaWre Dale <br /> � ' <br /> . v;i���`%� 7 <br /> i _—_. .._. _ —_ - _ _ _ — <br />