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Aus . 31 . 20ub 9 : 1 ?A�d TECHIJA SYSTE�'S INC No . F0=3 F. i <br /> ; , <br /> ELECTRICAL 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 /> ` � 1-� . '3`' � �� �� �i� <br /> � <br /> PROJHCT ADDRESS <br /> � �, d �.9�1�� <br /> Ovmer �dail AdtlresA Clty � State2lp ' Phone <br /> Tenent , Mall Addnac Clty Stete2ip �L� Pnone <br /> 7"�'�/1���� 1 �/� �-a,p� �u e��4�1'1'l.��.Yl' � I 9Q a�?S <br /> ElecVical Contractor Neil Address � City S�te/Zip Pno�e <br /> ��^����{ /1 I� � .U `� <br /> a:a Llcenoe Number �-1� n ract Ppce of Work <br /> Proposed Use ef Bullding Contact Peraon (Plen Revlew) <br /> � . <br /> Descrlptlon of Work to Be Do�O:y� � � ^ ' <br /> � <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SA�ES TAX CODE IS 3105 . <br /> I hereby cert!ly thst l h9ve read and axamired this appllee0on snd know the same fo be frue and� <br /> correct. A!1 pmvlslons ollews antl ordlnances goveminQ ihis type ol work wlfl 6e comp/efed <br /> whether specified hereM or not. 7he prent/ng of e permit does ncfp resume to plve suthcrlry to � <br /> v/olafe or cencel(he provisions of any othe;stete crlocallew regulptina construction orthe <br /> pedcrmance of constructicn. That!am authodzetl by the owner et ihlsp mperty to per'orm the <br /> work�er whlch pllcetion is msde and I comply w1N the Stete Ccntracfors Law JB.27 RCW end - <br /> 296.200 V✓A � <br /> � � 1 d� <br /> Si6nature ata ��� ^I��/�C <br /> V � <br /> �-Z � 5 - �. `� . <br />