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( - <br /> FLECTl�lCAL PERMIT APPLICATION <br /> CITY CF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-R857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � � <br /> PROJECT ADDRES <br /> ��� � I v � �c,�. I��P�i�� W�- cl��43 <br /> Owner Mall Addrass Clty Slate/Zip Phone <br /> 20� 79S 39 <br /> Tenant Mail Address Clly Slalo2ip Phone <br /> ���GV\ 1`�OV� � (FL����G,t� �JQW��L�S � ��a'� 'Jr ������ �� /`re?�.1��� �� <br /> Electrical Co lracbr Mail Addre=s City Slate2(p ��(J�� Phone <br /> �}� 1��' �� �(15 L� I"l �/�4�3 �QQ�� <br /> Stale Lfcense Number Contract Price of Work <br /> ��.-�� ,4,�L��,�,�� l <br /> Proposed Use o(Building Contact Person (Plan Review) <br /> -(� ,, I � � � <br /> Descriplion of Work lo Bo Dono: 4 J f�tti�1`� �\vLN�� t>v �I�fi�V i L ��'l� �.- I <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES'fPX CJDE IS 3105 <br /> 1 hereby certify that 1 havo reod and examinod fhis eppl��afion and know fho seme fo be Wo and C � ► J� -O y'� <br /> correcL All provislons o/laws and ortlinancos govoming fhis type of work will be complefed <br /> ivhether speci(ed herein or not The granfing ol a pemut does not resumo fo give authonty fo <br /> violafe or cancel the provisions o/any other sfate or local law reguPfing construction or tho <br /> �erfomtance of conslruction. That 1 am aufhonzed by the owner o(this�roperty ro pedonn fhe <br /> work lor whic0 application is modo and 1 comply with(he Stafe Con(rectors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> � � � � � <br /> e <br /> / ignaWre � Dhte <br />