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� <br /> ELECTRICAL PERMIT APPI_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vwvw.everetlwa.or�l <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �(q�/Z <br /> �4Z� ��,�,;�}.�- ��zo�—oq/ <br /> :��' . �w�e � <br /> PROJECT ADDRESS <br /> (con+rucfm. id;l b� iti6oSync� <br /> Ownef Mail Addross Cky Shte2ip Phone <br /> f/r � ' �s ��8 , v't< l s��,.�/D-1/(e-0 <br /> Tenent MaflAtldross CHy SqM2ip k�t2'3 hQ��� <br /> i'" (/ <br /> � ��, � Dr� -�i,�, ,� 03 �t,llG��e , y- <br /> Eleddcal COntractor Mail Addroes Ciry SMM2ip Phone <br /> /��lu ���IS��k ��� �' <br /> State License umber Contract Price of Work <br /> c,ommeri�a � <br /> Proposed Use of Building Contact Person (Ple�Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Descriptio of Work to Be Done: ,� v�/P i�'+'(/V.� ��� � f F �•/I�GK� �'1 r' '"`` �"�l <br /> 0/' ,sG� ��� ,�,��.�". <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E �,r� <br /> BE IN RACEWAYS, MC OR AC CABLE. ��W <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certiry fhat 1 have read and examined this applicallon and krrow fhe same fo be hue and �I�� I F, � I <br /> corracf. All provisions oflaws and ordinances goveming this type ol work will be comp/eted U � <br /> whefher specified herein or not. The gran6ng of a permd does notp resume to give auMority to <br /> violete orcancel the piovislons o/any otherstete orlocal law regu/aBng cronshucHon or the <br /> peAormance o/construcfion. Thaf 1 am authonzed 6y fhe owner o/thlsproperly fo per/orm fhe <br /> work for which applicaHon is made and I cromply wifh fhe Sfate Conhacrors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> /--� 7��Q /Z. <br /> Signetum D�ro <br />