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ELECTRICAL P'E�MIT APPLlCATION <br />CITY OF EVERETl' PERMIT SEi�.VICES <br />3200 CEDAR STREET, EVERETT, WA 982U1 <br />42r257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />�3">D 55��-I �T Sh/ <br />PROJECT ADDRESS <br />�e�J A)n/n <br />Owner <br />Tenant <br />Eiectrical Contrador <br />� <br />State License Number <br />CaGt1e/k�'L� /' �RR71AiEZ ����G�ET <br />Mail Address <br />Mail Address <br />Mail Address <br />SINC�E� rtf�7/L� �ANW.LIN(3 — ff'�DITiIJNS Td <br />Proposed Use of Building <br />City <br />City <br />City <br />��z <br />StatefZp <br />StaleZp <br />StatelLp <br />� <br />W�one <br />Phone <br />Contract Price of Work <br />.1EFF i�kNTA �yI�N Linl�s <br />_�'S - 353 -OS> i <br />Contaet Person (Plan RnvieK•) <br />Description of Work to Be Done: �/I.IT��'!O�' g E�`-Te1UL� L1GNT��l�� ��-�-�C�Ur� DVTGEr 'i <br />E,�NI}usT FRn! . r,a.cc�.Ts r-�/— S�A- Ef' `'i-Au�,�A� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO �E <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA%CODE IS 3705 <br />i hereby certily that 1 heve read end exemined tF�is applicefion and know lhe seme fo be trve end <br />correct. All provisions o/laws end ordinances goveming this type of work will be cvmpleted <br />whethsr speafied harein or not. The grenting o/ e permd does not p�esume fo giva e�fhorrly fo <br />violate or cance/ the provisions n/ eny other state or locel lew reguleting construdion or lhe <br />performance o/conshuction. That I em authonzed by tha owner o/ this property to peAorm the <br />work /or which appliqg6on is made end I comply vnth t6e Stefe Contrectors Lew 7B.J RCW and <br />296.200 WAC. . . <br />J., �. ��/%'=� /� L� --- / 1 <br />1gna�_ . 1e � i� �. ' �� <br />��� � <br />