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� —!- <br /> ELECTRfCAL REd�MI�' APPLICATION <br /> CITY OF� EVERETT' PERMIT SERVICES <br /> 3200 CEDAFi STREET, E`✓ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 A!d TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> /U�l� r�l��` /�vQ s� �z,-�.� 4k l✓r't �8ao8 <br /> PROJECT ADDRESS � <br /> i;✓u3�...��10,� l�7�.s,�..( /aa� 3� �..� �� f r(c %✓.� �I sl�l <br /> Owner Mail Address City SlateZp Phone <br /> Sa �,a <br /> Tenant Mail Atldress City State2lp Phone <br /> � � S'�/s- �73-o�s�s <br /> �zvriiGa �un,.nv.n;cc-lians, T.,c %O' 7S G�/ l/a, s R�NE R�rn d �✓A �/FL'S'a. <br /> Electrical ConVactor Mail Address Ciry State2i{. Phone <br /> S�rzvrcloi�k S i S Uao <br /> State License Number Contract Price of Work <br /> G�-�. .f n;k� <br /> � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Wark to Be Done: � � -��� G: t Se i�.•.r� �,�/.z� - � �,�,,,��_� , <br /> 5,,��N/,+" ��66!•�. <br /> � .. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y that 1 have read and examined this application and know the same to be true and <br /> conecf. All provisions of laws and ordinances governing this type o(work will be completed <br /> whether specified herein or not. The granting o/a peimif does not presume to give authority to <br /> vio/ate or cancel the provisions of any other state or local law regulating construc;ion or the <br /> pedormance ol construction. That I am authonzed 6ylhe owner of th�s property fo pedorm the <br /> work for which app/ication is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 196.200 WAC./ <br /> C � <br /> /_1.-L.� ih=��� �-�y oS- <br /> —�ignawre Date <br /> r� v/ - 7� <br />