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Oct 20 :0 09: 42a Frank Cheek 360_-659-B57B p. l <br /> � ; <br /> EL.ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> �O � O 8 D�y��/ L ,D�'" <br /> PROJECT ADORESS <br /> i � l�t /u�� �Io,��f.� <br /> Owner Mall Addross Gry Statc2ip Phonc <br /> lenan� MoilAtldress Clry Slate2lp Phonc <br /> /t�o r7'�c-.-',-� �c � r/ ��-�/ec,�i'� c �i� G — <br /> Eleclrical Conlraclor �all Addross Gty S1ale/Zlp Phone <br /> Stale Licenso Number Co�trad Prico 01 Work <br /> Proposed Use of Building Contacl Porson (Plan Review) <br /> Doscriptian of Work to �a Done: V`�/ r'� .�C ,[ C��i1� � J�l�� ^� �mi e.. <br /> � �-'----- <br /> NOTE: W IRING IN NON•DWELLINGS IS REQUIF2ED TO FEE <br /> BE IN RACEWAYc MC OR AC C/16LE. <br /> CITY OF EVER[TT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerfily(haf 1 havo reud and exnminod Ihfs appllcation a,�d know(be samo to bo truo and �� U � Q- l2� <br /> corrvcL All provlsfons o(la�rs and ordlnonces govon�'ng fhis typ3 of work w!U bu complotod <br /> whafher sPeclOed horein or not The granfing of a pemu(doas nof pmsumo fo y/vo au(horiry to <br /> violate or canrel the provislais ol an}�othorsfafe or local law iogu/atinc�construction ar(he <br /> pedonrtai�ce of construcfion. Thnf 1 om au(hodzed by fhe ownor of this propeMy to perlom�fhe <br /> work 1or which application is mddo and 1 comply wifb lhe Sfafe Cenfracfors Law ft.27 RCW and <br /> 296.200 61'AC. <br /> ��Jl�� ��-�s,�'� ���i �l r7----� � <br /> S�gnalwe Ualn / ( <br /> ' __. _ , —'_—"___��__ �I <br />