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( _ <br /> Ei�ECTRICAL PERMIT �PPLICATION <br /> CITY :�F EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3`� S ..17, <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org �,/�3 �q � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1�1�� �1�err�\\ Cv ek7laYk ,�a � <br /> PROJECT ADDRESS <br /> ���iPnraled� Tec�� ►����n.� I�iL11(Yler,��\1 C'r:e�t a�ku�� ��a�e.l-k Wi� <br /> Owner Mail Addr�- City �SlatelZip Phone <br /> ��r�c�r�a}ec� Tecll nc��oc, � v C z 1� � <br /> Tenant MailA�r City SlatelZip Phone <br /> a��-��s�. <br /> S\1�C �,,.� D� S�u�N� ��� ���olar 1�1 So �era-�41e, l.Jf� 9�luu ��3s�. <br /> Electrical Contractor Mail Address City State2ip Phone <br /> �111E I.iV'� '�U(�(�Q13 �`a,9ao <br /> State License Number ntract Price o(Wo <br /> �at E1\wom� <br /> ��0\11111eiC1 � '�� - ?�91- 010 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> ;� / "�L L .(1.,, I- �7' 1� <br /> DescriptionofWorktoBeDone: 1'�L)1�11�� ��>Q111(� �l���c;rC1�(C:�)17 luf �G�iQ`�t �QV��. -FI��ISKRQ� <br /> c2 -�21 111�{� 'n :�icrr�c��� a'.� �le_x rern��il�rarPrn �r -)� �nx �r i►r�eert, 1��,�� �� <br /> 7c�a�„ne� rr,,i�- �nr �l�cen � d���e�s ivt c}{b ►1����� rP.sfrcr,v�,. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F�E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EYERETT LOCAL SALES TAX CODE IS 3106 ' <br /> 1 he,_.�certily thaf I have rea�i and examined Ihis application and kno�v the same fo be frue on� � I 2U3_ Q 9C�/ <br /> cbnecr. All provisions o/IaH�s a.id ordinancos goveming fhis fypo ol work will be completed �,�( <br /> whelher specilied herein or nof. The granfing ol a permd does no(presume fo give authonfy fo <br /> violate cr cancel fhe provisions ol any other state or local law regulating construchon or fhe <br /> performance o/construction. That 1 am authonzed by Ihe owner o/fhis property fo per/orm fhe <br /> work lor which applicafion is made and 1 comply with fhe Sfate Conlracrors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � <br /> Date <br />