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� � <br /> ELECTRICAL, PERMIT APPLICATION <br /> Ci7'Y (J�F �V�R�TT P�RMIT ��RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �—a7-1z <br /> � 120 �`ll7� <br /> �igl � �vE��ecEN �l�y - e�F�e-rTw� 5�Z03 <br /> PROJECT ADDRESS <br /> Owner Mail Address City State2ip Phone <br /> ACY� LF1S �TO�TAS 4Q17EUe�beEEtiw�y cJF�z� r7- .,J�- S�ZU3 `� <br /> Tenanl tdailAddress City 5tale/Zip Phone <br /> �i wN�rEUi933�P <br /> ��+�r� s�qv� i 510?- H�Y �� , ��,uuWno � ,.� �-�'"108� C�iZ5�34S —c�� � <br /> Eleclrical Contraclor PAall Address Cily Sfateilip Phune <br /> �D�� 6i39�S - __ � 2,oc�a <br /> S(ale License Number Conlract Price o�Work <br /> Proposed Use o(Ouilding Cor.taG Person (Plan Review) <br /> Syuare Foolage (li residential new construction, remodel or addilion) <br /> Descriplion of Work l0 6c Done: N�l�J S�� - �I�X F�-(,� (� V L�= � __J <br /> sn��{,uaT�� <br /> NOl E WIRING IN NON-DWELLINGS IS REQUIRED TO F[[ <br /> [3[ IN RACEWAYS, MC OR AC CAOLE . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 - <br /> I hereby certifylhat 1 have read and exarnined Ihis applicafion and knov+lhe samo-�o be frue and � <br /> conect. All p�ovisions ollaws and ordinances qoveming(his fypc o(worl<will be compleled � ��—� �y <br /> whefherspecilieU Ne�ein ornol. The granting ol a permrf dor.s no( �icsume lo yive aulhonty lo <br /> violafe or cancel fhe pravisions o!any olher slafe or local l�w re�ulaliny consfniclion or/he <br /> peifonnance oI r.onsl�uchon. Tha(/am au(horized by fhe owner ol this/�ropeity to per/omi fhe <br /> work/oi which applicalion is made and!comply rrrfh (he S(a(e Confrac(o�s Law 18.27 RCW and <br /> 296. 00 WAC. <br /> � ��o n. G----- og r 2 � l r Z <br /> — slyna�uro �-- oa�e — <br />