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� <br /> ELECTRICA�, PERMI'i APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREFT, EVERETT', WA 98201 <br /> 425-257-8810 - FAX �125-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��D/ �u«wn �c; <br /> PROJECT ADDRESS <br /> 7' �f sa,J o1�a/ fZ�cc� l�-u,f �ia .� YzS 303��33 <br /> OWn r 1,1aJ�ddmss City Slat�lZip Phone <br /> Tenanl P,t�il Address Cily StatelZip Phone <br /> G--RC �C.�.;�T/L�� �,S,ZZ /2Uc�c -�ce 3o L CrL�e.e�� �:� �L8"?�J( <br /> Electrical Contraclor ntaii nddress Ci;y State/Zip Phone <br /> �2 C G L�- �i ��G G �� � <br /> State License Numbnr Con ract Price o(Work <br /> c �—� l>"�D - �F2S3o3a�33 <br /> Proposed—��9 Contacl Person (Plan Revie�v) <br /> Description of Work lo Be Done: "f�.l�f hC1—c O ��� � `-'� ��K� ' �SC �%Xy'�1. <br /> �� <br /> -r�5 r�-c..� Y2�� - u.s� �,�.zs T�� �i rZ- n/e� I,v�e�Lo����tl <br /> NOTE: WIRING IN N�7N-DWELLINGS IS RFQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fh�t I have icad and exarnined tbis application and know the same to be true and <br /> correcf. All provisions ar laws�nd ordinances governmg Ihis lype of�vark will be ecntp�e(ed <br /> whether speci6ed herein or noL The grantmg o!a penntl does not presume to give au�honty fo <br /> violate or cancel the 1�rovisions olany other state or local la�v regulatinp construc6on or fhe <br /> peCerm�nce ol construction. That 1 am authorized by the o�anei o!fhis property to perlonr fhe <br /> work lor whir,h applicafion is made an�I comply wilh fhe Stafe Contractors Law 78.27 RCW and <br /> 296.200 WAC. <br /> /� <br /> (��� �� �"�x'-L -i-- <br /> �����_---- Date <br /> �01C�Q-lol <br />