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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PE�MIT SERVICES ���a--II <br /> 3200 CEDAR STREET, EVERETf, WA 98201 C��O�`0�� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> .2L 2s �a�r v' �c C� �(v� . <br /> PROJECT ADDRESS <br /> Si�euc. Pro�Cvrn�ic�, 2625 �anwv'n✓ B►,.� fi�Grt�' Wf}'982-03 <br /> Owne� Mall Addross Cily Stale2lp Phone <br /> Tenant Mail Address City State2lp Phono <br /> � S 3f-e�" A.� 5� Evr,►'e�l [J� 9$zo8' '�Zs=�37-3ao <br /> E ctrical Conlracl Mall Address City Slate2ip Phone <br /> �f /70� <br /> Slate License Number Contract Price of Work <br /> �m�—— �J�_ ���'1�'r <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Descriplion o(Work to Bo Doro: � - "d Zo o A (�Q,v�e,� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y Ihaf I have rend t+nd examined lhis applicalion and know the same to be We and <br /> correcL All provisions ollaws and ordinances go��eming this fype o(work will be completed <br /> �vhefher specified herein or.nol. The granting of a permit does nof resuma to give aulhonty to <br /> violafe or cancel fhe provisions o(any olher st<�te or local law reguPting consWction or fhe <br /> perlormance of construction. Thaf 1 am Authonzed,by Ihe owner o(this�roperfy fo peAonn Ihe <br /> work lor which applicafion is made and 1 cornpty u�ifh fhe State Confracfors Law 18.27 RCW and � <br /> 296.200 WAC. '� <br /> , ��� � ( r //�'J S <br /> 'gnaWre Dale <br />