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i <br /> i <br /> ELECTRICAL PERMIT APPLICATI�N <br /> CITY AF EVEREIT PERMIT SERVICES S _��_o S <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425257-8810 - FAX 425-257-8857—www.evereriwa.org C-o So S-O�S <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DESIT d CREDR CJIRD6 ARE NOT ACCEpiED <br /> /60 / � v�� <br /> PROJECT ADDRESS <br /> SO,J l.�i � /3U/ �� -�.✓,c-"�I /.d,�� <br /> owner �,�aa naamss cny sabzp pno,,, <br /> TBnant MailAddress Ciy S�TJp plip�e <br /> �� ' .�-- <br /> ElecCical Contractor Mau Mdruss Ciry ShwZp Plwna <br /> Slate License Number Caitract Price d Work <br /> Rqlosed Use ol Buiidirg Contact Person (Plan Re�riew) <br /> Description of Work to Be Done: c�D �7l�ti.e�� S�i✓r/��e� � 2�-r�✓i�.� <br /> u.h s � 2s <br /> NOTE: WIRING IN NON•DWELLINGS�S REQUIRED TO F$ <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �� <br /> CfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceriify thaf 1 have read and exarrnned fhi�app6catlon and krrow tlie same to be 6ue and <br /> camct. All provisbns ollaws and ortiinances govem�ng this fype o/wak wiB be completed <br /> wheNer specified herem or rroL R�e g�ar.ting ol a pemM does nofpresume fo give autlanty to <br /> violate or cancel the provisions o)any other s�ate or bcal law�egulatlng consfix,-tion or yre <br /> peAorma�ce ol conshuction. That I am authaized by Ure owne�o!fhis p�operty to perlam tlx+ <br /> work la which applicallon is maUe and 1 comply with the Sfate Conhac(ors Law 18.27 RCW antl <br /> 296.200 WAC. <br /> �..i���l L/l/�i_ J � / ��� � <br /> Sgnature DaN <br /> ��i <br />