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In II I'.nll I°:2J fA\ :tli0fi.i.104:15 GAlt1'I\ IiC'I' I\�- <br />f�joni uni <br />ELECTRICAL PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 <br />425-257-8810 - F!J( 425-257-8857 — wvnv.evorettwa.org l�_ �Z �I/ <br />APPLICATIONS ARE AC CEPTED FROM 8 AM TO 4 PM L���Q —DcSCi <br />�T�7 -�i'� sE '�C ,�� <br />PROJECT ADDRESS <br />OvmOt <br />Tonant <br />4�/�/=� <br />MBiI AO7f01t <br />M11oll Aatlrwi <br />� n O. <br />Eledrical Contrector � " Man ndarou <br />.f��',e i � TE ;� ay i �; _ <br />S�ato Licence Number <br />(IrAl� <br />Propoaed Uee o uildinp <br />Deea�p6on ot'�Nork lo De Done� <br />NOT[: WIRINO IN NON•DWELLINGS IS RE�UIRGD TO <br />BE IN RACEWAYS, MC OR AC CABLE <br />City <br />Ciry <br />Slata2ip <br />ahorw <br />Phone <br />r ������y��� <br />���y � Stale2lp rnone <br />.�/9�D = <br />Contract Price o1 Work <br />� ��' --/-.s <br />Conteet Porton (Plnn Revtew) <br />� CITY OP EVERETT LOCAL SALE9 TAX CODE IS 3'106 <br />� I horvby cortily thnf 1 have ivod end oxamined tfus epp�lcafiqn end kno�v fha somo fo De true and <br />� ronocL All prt;visions ol l�ws and orcJinancas Aovemmg fh�s rypo o! work wdl be crompletad <br />j whefhar sper.iFed horo�n Or nof 7ho gnnfmg ol e parm�f doos not presume (o q�vo outhonry (o <br />e,oin�e ur cenee� tho provislors ol any other stofo or locel law regulatinp construd�on or the <br />i porformance of conslruchon T'hol I am nufhonzed by fhc owner o/ fhfs roportV to pedorm the <br />worklor which applrcahun is made and 1 comply wdn fho Sfofe ContracPrs Law 18:7 RCW an0 <br />I ,. 06 200 WAC. <br />FEE <br />E�riv-os� <br />! Ci <br />