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, � _ <br />ELECTRICAL P�i2MIT APPLICATIC�N <br />CITY OF EVERE.TT PERMIT SERVICES <br />3200 CEDAR STR�E i, EVE:RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —+ntivw.everettwa.org <br />APPLICATIONS ARE �\CCEPTED FROM 8 AM TO 4 PM - DEBIT 8. CREDIT CARDS ARE NOT ACCEPTED <br />� � 03 ��4�:.�e_n �G� <br />PROJECT ADDRESS <br />Th �`'�'�r <br />Owner <br />Tenanl <br />LL� <br />Mail Address <br />Mail Address <br />r�l 5��, us I l7 Z; <br />.rica Coniraclor Mail Address <br />LyNSEE��99SH <br />Slate License Number <br />�o..�. ...,� c. J <br />Proposed Use of Building <br />Description of Work lo Be Done: �i � L h�S �,., � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC C�BLE. <br />City <br />City <br />A�� N <br />City <br />StatelZip <br />Slatc2ip <br />Statc/Zip <br />�7 3��oa, ao <br />Cantract Price of Work <br />I%c� 1 �s I��n <br />CoN2ct Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi(y that I have read and examined this application and know (he same fo be frue and <br />wriect. All provisions o//aws and ordinances govermng this rype o(work will be completed <br />whe(her specified berein or noL The granling of a permd does not presume fc giee aufhority to <br />violafe or cancel fhe provisions ol any other sfate or local law regulatmg consVuc6on or the <br />peAormance ol consfruction. That I am authorized by the mvner o( this property to pedorm fhe <br />work for which application is made and 1 compty wi!h lhe Sfafe Conlracfors La�v 18.27 RC W and <br />296.200 WAC. <br />Phone <br />Phon� <br />Z,o6-�6y- <br />Pho�c <br />FEE <br />�1 �ZZ. � <br />