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ELECT�ICAL PERMIT �'�P 'LICATION <br /> CITY Or EVERET'� PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS AF2E ACCEPTED FROM 8 AM TO 4 PM � ��-G ,� <br /> �' G `5�0(— l b f <br /> �- GO,S - /rlcR� � ll c�e�K {�n�kwny 93Z03 <br /> PROJECT ADDRESS <br /> yZs <br /> SN 3� U 5A Lo (vr�3 - /�?c,tzi/I G2�a�; FKwy . tivc •tvr �� 93zo3 yo7 • �1 Zl <br /> Owne� Mail Address Ciry � StatelZip Phone <br /> 51�rv+ � <br /> Tenant Mail Address City Slate/Zip Phone <br /> ZCL• <br /> In1cs -F.r_<< Ccrt7-nl LnSc LZ�r�I - S3r.a AvL- 5n, lt �a � WA �18D32 d'S(-' 9Sz <br /> EICCtfic2l ConlraClof hlail Address City Stale2ip Phone <br /> V�r•S� � ci �bCL.D �y�� °� <br /> Slate License Numb�r Contracl Price of Work <br /> S;n2+�9 �; <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �escription o(Work lo Be Done: /��c GO C.It j� ni �c�F_n/ % �'i:� �����+�f'SS.'�7N -Sy5 rG�J, <br /> NOTE: WIRIN� 'N NON-DWELLINGS IS REQUIRED TO FEE <br /> BE I�d RA�;EWA�'., ivii: OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> !hereby certify thaf I ha�e read and examined this application and know the same to be Irue and <br /> conecL All provisions o//aws and ordinances c�oveming Ihis type o/work will be complefed <br /> whefher specdied herein or not The granting o/a pernuf does nof presunte to give aufhonty to <br /> violafe or cancel the I�rovisions oI any other sfate or local law regulafrng consVucGon or the <br /> pedomiance o/construcfion. That 1 am authorized by fhe ou�ner ol this property fo peAomi the <br /> work Ior which application is made and 1 comU�1'nith the State Conlractors Law 7827 RCW and <br /> 296.200 INAC. <br /> �����_� <br /> SignaWre Ume <br /> � <br /> �' r, � <br /> , �� '�i - l ' <br /> , � �, � <br /> (' ��- �� <br />