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�ICAL EFFMIT APPLICATION <br />ELECT P <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV[RETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wv,�w.everett�va.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TC C PM <br />�� .� Sc, ��� ���� �v�rt�f� <br />PROJECT ADDr�ESS <br />� 6 ��-f l.. � <br />Owner <br />��� <br />Te�ant <br />Eleclrical Coniraclor <br />S�atc License Nurnber <br />Proposed Use ot Building <br />I�-I� y�l( S� 3�1��� <br />Mail Address <br />A1aIl ndU�C�.s <br />Mail Address <br />-��e <br />cay <br />Cily <br />Cily <br />�A . �i j'�to �' ( yz� <br />State2ip Phone <br />Slafe2ip Phone <br />Slale/Zip <br />S� �, � <br />Conlract Price ol Work <br />Contacl Person (Plan Rev�ew) <br />Ocscriplion of Work lo Bc Done: �f1 (� �t Y �0��'t�. ! Z iPy F �0 �i`� � C J��y1/r• <br />NOTE: WIRING IN NON-DWELLINGS!S REQUIRED TU <br />BE IN RACEWAYS, A4C OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310F <br />FEE <br />I hereby ceriily fhof I have reaA and examined this applicafion and knu�v fhe sarne fo be Vue and <br />con�ect. AC provisions ollaws and o�dinancns govenun,q Ihis type o! �voik will be completed <br />whether speci6eJ hc�ein or not The granfing ol a pennR does nof uesume fo ,qive authurily to <br />violafe or cance/ the provisions o(any other stafe er local la�a regul•�fing consfrucfion or the <br />periormance ol consfrucfion. 7haf 1 am aulhoiized 6y fhe owner ot th�s property to perform fhe <br />work lor which application is made and I comply mith fhe Stafe Contracfors Law 18.27 RCW and <br />'15G200 WAC. <br />� l,.i r. � i <br />Phone <br />