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�Rf .�G • !i;'Qb � � J:�n;� I �C���=. �'i� l=��� Ii�C ;�n . F�;il� , � <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 /> APpLICATI0N5 ARE ACCEP7Eb FROM S AM TO 4 PM <br /> �I �# � <br /> PROJECT APDRE S <br /> yt— �P�t�nfi' �510 i(Y�nre����__Su►�,ec,ti C� �121� ! <br /> Owner Mall ACdreea City Sta Phone <br /> Tenent Mell Addrees City SfatefZlp Phone <br /> ��/'Nh�. �1 A�n�s1nL. tZu�zs� �1/,���i �� w4 _'6V .WCS '�� <br /> ElectricalConVactor Mallnddress L City StetelZ'p �� Z5 h na <br /> �6��+ Ns����v� ���'� ��� �'``' '� ' � <br /> State License Numbar ContreC Prlce oi Work <br /> Proposad e Of Bul Ing Contact Persan (Plen Revtew) <br /> Description af Work to Be Done; ��,�1 V9I�G+� �1� - T3�a� M �Ir(�'� ' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERET7 LOCAL 9ALE3 TAX CODE IS 3106 <br /> 1 hereby cer;i(y thet I heve read end exemined thls eppllcetlon and know!he same to be true end <br /> ccrrecf. All provisions o(laws end ordlnences poveming thls type olwork wllf be completed <br /> whefher speCllied hergln or not. The grenting o(e perm7t daes notnresume to glve euthority to <br /> vlolate or cancel tha provlNons of any other state or local law regulaGng construction or Ihe <br /> perte�mance of construction. That i em authorized by fhe owner o/th�sp roperty to peNorm tlte <br /> wcrk lor which a plication is made end I comply tvlth the Stste Cootreclors La�v 18.27 RCW end <br /> 296.200 V✓A <br /> Eo�oy -�gc� <br /> , <br /> iflnature et <br /> �I�ea se.. cu,I I -�� ar�al r �-- c�rol ���rts . <br /> 3� . �Ls 4-�- <br /> ,�,�' C��3 �s�� <br />