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EL�CTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ; 425-257-8810 - FAX 425-257-8857-www.everettwa.arg 3 _p Z-05' <br /> � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (Y�D Cf D �-!�d� <br /> a�o� �� �� s�,�-� <br /> PROJECT ADDRESS I <br /> ✓9//7�'3 �r�lA.e, � <br /> Owner Mail Adtlrass CiN Statc/Zip Phono � <br /> I enanl Pdail Addrocs City Slale/Zlp Phone <br /> �2di.rJ��/r�%ef'��s�s/Nc /o.CbX/93Z /�>�7�sY/L/� GtJA96'�70 3�0-Gr3 f.j5' <br /> Electrical Contractor Matl Address � Ciry Stale/ZiG Phone <br /> � �,vuiF 99/ G'�7' ����� <br /> State License Number Contract Frice of Work <br /> J'",4UL �L�Ir���UTSo�/ <br /> Proposed Use of Building Conlad Person (Plan Review) <br /> Description of Work to Be Done� ����� Sp Fr S�i'C. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ICITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby c�rti/y tha!I have read and examined lhis applicafion and knotv the same lo be true antl <br /> corroct. All provrsiens ol laws and ordinances govammg fhis type ol�:oric�vill be complefed <br /> whether spoafied heroin or nof. The granting of a pormd does nol presume to give authonty to <br /> vin,�(eorcancelthe p/ovisionsolanyotherstatoorlocallawregulafingconsfrucfronortha <br /> porformance o/consfrucfion. That l am authonzed by fhe owner o7 this propeRy tu p=rlorm fh,e <br /> work for which applrcafion is made and 1 comply wifh fhe State Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � _ :'� <br /> �i'�� <br /> i , <br /> ���_ .�-a-o 9 <br /> Sig aturc Oate <br /> I <br /> IOO.�IOO�y'] JV1 .I..CiI .C1.1211'D Sf:h(if:5000£ \F:I SO�I'I 600Z/i�0�S:0 <br />