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'� - <br /> ELE�TRICAL 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 8 AM TO 4 PM <br /> /OZ03 /'1I��/o� .9�✓ �F�� <br /> PROJECT ADDRESS <br /> �V�4/o�v �i✓s f2✓c�Ti o.✓ <br /> Ownef Mail Address City Slate/Zip Phone <br /> Tenant Mail Address Cily State/Zip Phone <br /> � 9s'9 s�iivc,e, sr yis"- <br /> (/�/LB"NT $�G6G%¢ic, �.v� E�mo.v�s c.✓r7- 93"o�c� 778'-.�?'a3d <br /> ElGclriCal CoMraclor Mail Address City Slate/Zip Phone <br /> GU.�',eC;d'/oYa�/�� <br /> State License Number Conlract Price of Work <br /> S r:,e Q/t✓i0 h�uG-r�''s <br /> Proposed Use o(Building Contacl Person (Plan Roview) <br /> •fzs - z/� ..� �io <br /> Description of Work la 6e Done: /0 ��2 a /�' Nt��✓ .s•F/L <br /> ptid,��r3 S ' r� <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> EiE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE�S 3105 <br /> I hcreby certily thal l 1�ave read and examined this application and kno�v the same fo 6e tnie and �C�'l: �''"� - ��+ <br /> coirecL All provisions ol la�vs anA oidinances govemmc�flus type oI work will be comple(ed <br /> whether specdieAherein or.not The grantinc�o(a pernut does not presume fo give authonty fo <br /> violate or cancel the provisions ol any ofher state or local law regulating consfruchon or the <br /> performance oI construchon. That 1 am aufhodzed by the owner of fhis property to perlonn the <br /> work lor u�hich applicafion is made and 1 comply wi(h flie S(ate Contrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> -��`�l �--�- . ,lz� JvG <br /> y;ana��m ��Dale <br />