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� - <br /> I�LECTRIGAL 1'E�NIIT APPLIC,ATI�0�1 <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � 'i <br /> / �i i�_ � . <br /> ��� �� � ��`-f- 57, <br /> PROJECT ADDRESS <br /> � Ic(. Cf T�i0P1 '✓CA/J <br /> Owne� 61ai1 Address City State/Zip Phone <br /> Tenan� A1ail Address Ciry Slale/Zip Phone <br /> �✓� �i�c��r.0 /ls 3� ��D��y�;� �� .S�qo�v,�,.�c Y/�S`1d�Y2 ��G_tiS2'3�'O <br /> Eleclrical Contraclor Mail Address City State2ip •'hone <br /> C- S�� L f z I J �C � .�.S�O �'— <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> i � � <br /> Descripilcno(WorktoOeDone: •��' ✓� �� � �� '%1'� <br /> NO-i E: WIRING IN NON-DWELLINGS IS REQUIRED TO `EE � <br /> BE IIJ RACEWAYS, MC OR AC CABLE. <br /> i <br /> CITY OF EVERET7 LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily(hat 1 have read and examined Ihis application and know fhe same to be tiue and <br /> conecL All provisions ollaws and ordinances govem�ng this type ol work will be completed <br /> whefhe� specilied herein or not Tl�e granting o�a permd does not resume to 9ive duthonty to <br /> violafe or r„�ncel the provisions ol any other state or loca!law reguPtint�consfruc6cn or the <br /> pe�lornt�m.e o/consfruction. That 1 am authorizad by the owner oI this property t�perlcrm the <br /> �ti�ork lo;�vhich applicafion is made and 1 comply wifh fhe Stafe Contractors Law �B.27 RCW and <br /> e86 200 WAC. , <br /> �,'�� % � ! '�C/��/ � — / / `� -, <br /> _ /j <br /> Signature Dale �i? — � �-� <br /> 1 � Ci 7 <br /> �� <br /> I <br /> i <br />