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( � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES a� �� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org G�I��� _�'Z 11 <br /> I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> zz. oy ItEw �T R�� <br /> PROJECT ADORE33 <br /> HEwrrz- ov� �Ass LLe P� �S ►�o � �v w� ��2ot� <br /> Owner Man Address Gry staEeJDp Phwie <br /> �1 UJ I�RRo SPA C-� ?EC.H 1 N L <br /> Tenent MailAddresa CNy StaM/Lp Phone <br /> �[�iN = eo � N � <br /> Ebcttical Contre r Mall Addrose �Y S�� �0^° <br /> ou <br /> INC(�lN EC003 N S SOap — <br /> State License Number Contrect Price oi Work <br /> �F�l(,� S'�RGE <br /> Proposed Use of Building Confad Person (Plan Revlew) <br /> DescripUon of Work to Be Done: ►i` ' 11-1� /J G k1 O F���'�- 'S��f�'� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certl/y thaf 1 have read and examined this epplkation and know fhe same fo be We and � � � �O — �21..` <br /> cortect. All provlslons ollaws anJ ordlnances goveminp fhls type of work wll16e complefed <br /> whether speclfled here7n or nof. The grantlng ol e perm�t does notpres ume to g7ve authority fo <br /> violafe or cancel fhe proNslons o/any ofherstate orlocallaw regu a/ tinp conshuctlon orthe <br /> peNormance o/construcBon. Thaf I am euthorfzed by fhe owner o/fhis prope�ty fo per(orm the <br /> work lor whkh appllcatlon Is made and 1 comply w7th fhe SYete Contrac(ors Law 78.27 RCW end <br /> 296.200 WAC. <br /> ��- Zy -// <br /> na re Date <br />