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� <br /> ELECTRICAL PERM�T AP'PL�CATION <br /> CITY OF EVERETT PERMIT SERVICf•?S <br /> 3200 CGDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 Ahl TO 4 PM <br /> �C'''?i'•=' �?. rN �;U�" Uv <br /> PROJECT ADDRESS <br /> � , _ ' L� ' , <br /> L, I7,^ _, �: l, �k ,d 'i7�/�� C l�r,`'i - �Yil.y� 1�:��j/c �� :i:iY� ��/•c�u53�- �t���L, <br /> !1 <br /> O�vner Mail Address City StatelZip Phone <br /> TCnant Mail Address Cily State/Zip Phone <br /> i <br /> � i ,t`�c�r�y �,L ��cilnc r�c '. r�/ Iti' � ; r�� r�rSU�IIf� Ui�� 9�270 �`;;�5' ,'O /J�O <br /> Eleclrical Cont�aclo� Mail Address Cify State2ip Phone <br /> f �- '-'IC�'i:�afC-����1i�� <br /> State License Number Contract Price of Work <br /> ':, i= l� <br /> Proposed Use of Building Contact Person (Plan Revie�v) <br /> � � ;� , <br /> Descriplron af Work to �e Dona ��.�� �� �' U-� ��i�' � `-' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE i <br /> 8E IN RACEWAYS, PAC OR AC CABLE. i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hercby certily tliaf 1 have read and exantined this application and knou�fhe same to he true and <br /> r.orrecL All provisions olln�vs and ordinances governing fhis lype ol�i�ork�;ill be complefed <br /> �vhether specdied herein or noL The granfing o7 a pernu(does nof presume to give authority to <br /> violate or cancel fhe provisiens o/any other sfafe or local law regulatin�construction or the � <br /> peiicrmance oI consVucfion. Thaf I arn aufhorized by the ou�ner o(this property to perlonn the ` <br /> :vork lor which appfication is made and 1 compty�vith the State Contracfors Law 18.27 RCW and � (" <br /> 29G.2J0 WAC. ' J <br /> --- � / " " �'�` � �i� %/`)('(1� �D� <br /> SdJhaWre Dalc � <br /> I . .. . _._ . . . . .. _�__ . ___......___.______.__.___.-.—.—_____ <br />