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ELECTRf�AL PERMIT APPLICATION <br /> CITY OF EVERETT FERMIT SERVIGtS 5 _1t�.-09 <br /> 3200 CEDAR STREET, Eb ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org (j�ps� S--O �7 <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> . <br /> r'/ �-� l (, ���'��0; ��� ,�, r� �� �_ <br /> PROJECT ADDRESS � 1 J � , � <br /> �� I, ; �� <br /> �'������ J �� i�i c� v ��� <br /> OWner 61ai1 Address Cily Statel7_ip Phone <br /> Tenant Ivlail Address City StatelZip Phone <br /> ��������� �,-��J- LI� i,:��� (�.� C -/'��(� <br /> Eleclrical Cunlraclor Mail Address City Slate2ip Phone <br /> /_l�g� �,tli=L �_,�r=� <br /> Stale License Number - � Contract Pricc of Work <br /> �j).� S� ���^� �` -r� <br /> F'roposed Use of Buildi�ig Conlact Person (Plan Revie�v) <br /> � 'r.---- �},�,�, <br /> Descriplion of Work lo Be Done: _ , 7/�i� � � i - ��i � .� �{—� 5 G�f�' " I' � <br /> NQTE: WIRING IN NON-DWELLINGS IS RECeUIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABLE. � ( �, <br /> ! O <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby ceriily that I have�ead and examined fhis application and knou�(he same fo be true and <br /> conecL All provisions olla�vs and oniinances gover,vng this type ol work�rill be cornpleted <br /> �vhether specdied herein or noL The grsnting ol a permd does nof vesume to give authonty to <br /> violate or cancel the provisions ol any e�her state or local la�v regulafing construction or the <br /> perlomiance ol consfiucfion. That I�rn 3uthorized by the owner o(fhis property to perform the <br /> work lor �rhich applicalion is rnade and I comply�vifh fhe S(ate Conhactors La�ti� 18.27 RCW and <br /> 296.200 WAC. <br /> l � � / <br /> � ' -t-- ��,��, �� � `/�C: �� <br /> , �,. <br /> _ , $tgtiaWre ^�� Da <br /> � �9os-� �� <br />