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� — <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-6857-www.everettwa.org 3 `�6 �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /'�����O g� <br /> C; <br /> 7 33 U t-�FATNE�. C.J Ay E�626TT', �Fl �I$ZO 3 <br /> PROJECT ADDRESS <br /> -r� 7 33� l-��K W�+ ��EaE�T W Fl �18Zo 3 �425� <br /> ,��w� �G�JKt�JS Y 703 •37(J`� <br /> OWnef Mail Address City Slate2ip Phone <br /> Il Il �� �� �l 11 II <br /> Tenant Mail Address Cily Stale2ip Phone <br /> �oo��N�, oo (ac�o) �9y <br /> �j # S NEAT��G� EIE�tR�c � �.��1� ST. �oN2oE W� 9SZlZ 730G <br /> Electrical Contracto� Mail Address Cily Slate/Zip Phone <br /> GS HTG SH 93a R,K <br /> State License NumGer Contract Price of Work y,T I <br /> " ESIQEKCE S?EVE FRA21E2 42SZ328' <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: a (�ereCy 2 ��RCU�T S `��. fJFS..) �1RWJ�E� fi�'� <br /> I CIRC4�T F�R !-IEnT- �� /-10DE� SErz��cE cxm�r , �ooEn <br /> C�vCCET FtIR CofJ D6JSA-r(ov a1rP IlE�.� T-S IAT 411(�6 -- - <br /> NOTE: WIRING IN NON•�WELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVEREtt LOCAL SALES TAX CODE IS 3105 <br /> I I hereby certily fhaf I havo read and examined(his application and know the same ro be Inre and <br /> ! correcL All provisons ollaws and ordinances goveming this fypo of work wdl be completed <br /> whether spec�Iied heroin or not The granfing of a permrf does nof rosume to yive autbonty to �— , <br /> violate or cancel the provisions.o/any other slere or local law reguPtin9 consfruchon or fhe � <br /> pedoimance of construchon. ihat I am aufhonzed by the owner n!fhis propoRy ro perlonn the <br /> �vork(or which application is mado and I comp/y u�ith tho State Contractors Law 1827 RCW and — ��� <br /> 296,200 WAC. <br /> ` <br /> 3 - �c�-�o ,�d, <br /> Signalure Oale ( <br />