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�i�..���'�����- ������A � .Af�P�,(��,`�'����; <br />(,'•� 1 '� ��' h�j%�Eo�?�' '����A� 5���/I��� � _3,a—O�l <br />3200 CEDAR STREET, EVERETT, WA 98201 G o9 D �,p� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />NPPLICATIONS ARE ACCEPTED FRONi 8 ANI TO 4 PNi - DEBIT & CREDIT CARDS ARE NOT ACCE�TED <br />yIUZ �.•�c,k« Avtnwc.,�vt�t1� Wli 4S�2o3 <br />PROJECT AD�RESS <br />Owner <br />Tenant <br />Electrical Conlraclor <br />INA���rr�r�SSkr- <br />Stale License Number <br />���s Sfo� <br />Proposed Use of Building <br />%IU'C% Nnr�i� <br />Mail Address <br />Mall Address <br />Mail Address <br />�� <br />Cily <br />City <br />Stale/Zip <br />Slatr.2lp <br />49a3 6 <br />State/Zip <br />I 4 O� i� = <br />Contract Price of Work <br />ue�1�� Guld; <br />Contact Person (Plan Review) <br />DescriptionofWorktoBoDane: 1nSfa��of��+ ob ��+5 V�a�� Tr�,�,,i' S1q�<o�.0 __T�7A <br />UKv'�.r�uwQ SPWicc. � q broacti C�rca� i5 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 3705 <br />! hcreby ceifi(y fhat 1 Imve rr.ad nnd examined fhls ap�licafion and f<notv the <br />cariecL All p�ovisions o! laws and ordinances r�ovemm,q th�s typo o( wodr w, <br />whclhcr sper.died herein or noL Tlta yranfing ol a pemuf does nof prasume <br />violnfe or cancel fho provlsions of any ofher stato or local /nw ro�ulntin� con <br />��edo�manco ol consfruefion. fhnt 1 am autho�ized. by the owner o/ fhis prop <br />work lor which applicafion is made nnd I comply wdh tha Stafe Contracrors L <br />z�s.zoo wnc. <br />--- s�rina�me— <br />o lo bo fruo and <br />carnplefed <br />�o authonty to <br />fion ar tho <br />'o poAarm fhe <br />�027 RCW and <br />FEE � <br />3�o.�S <br />���-,f �- <br />Phonc <br />Phone <br />Phone <br />