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ELECTRICAL PER.M!`I' APPLICAT�ON <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — �vww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRONI 8 AM TO 4 PM <br />�G � Z 3 � { `� Sd • ,� �,,.�... �f � %2c� / <br />PROJECT ADDRESS <br />� / .�G� � I <br />Owner <br />8533 �a5-Fri¢u (�� <br />A1ail Address <br />Tenant M1fail Address , <br />r�.��-„� ��� ������- <br />� <br />��V2..GC� ��CGiriC G�{� -���'��_��,'�� <br />Eleclrical Coniraclor r.tail Address <br />A D✓N�ES ���-' <br />�� 9z7A7 <br />Slate license Number <br />�st ��� <br />Proposed Uce of Building <br />���� <br />City <br />City <br />aar� <br />City <br />��-a�-� � <br />siaierz�� <br />Slale2ip <br />�f L � <br />Phone <br />Phone <br />3 G=+ <br />,, w�1 ya � `� 5'7� <br />Stat=/Zip Phone <br />�z�� <br />Contracl Price o( Work y ZS ,,� <br />Jalu- ►�. �.l.�11 srLd <br />Contact Person (Plan Revievr) <br />Description ot Work to B� Done: /�W �'�- t�� 'N��C n G>' e n i T S e9'��i�H.eCS , rJ� � <br />� <br />Gi>"�.�.r� ��/ f�.y� Gi✓GKiiS <br />NOTE: VVIRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hemby certil}� Uiat ! have read and examined fhis applicalion and kno�v the same to Ue Vue and <br />correct. .411 provisions ollaws and ordira:;ces goveming Ihis lype o/ work will be completed <br />whefher specdied herein or not The granfing ol a permd does not resume fo give aufhonly to <br />violate or cancel fhe provisiona o(any ofiier stafe or local law reguPfing consfruc6on or Ihe <br />perlo�mance o/ construcfion. Thal ! am aufhorized by the o�vner o! Ihis property fo peAorm the <br />work !or which applicafion is rnade and 1 compty with the Stafe Contractors Law 18.27 RCW and <br />29G.200 WAC. � <br />G �/ • �L��LZ�! <br />s��n;iG� - <br />FEE <br />i — <br />r <br />r: \ � <br />: �ry�i�' `` <br />C ' J `� <br />