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Jan 25 07 05:SSa UIVa Electric 360-657-1106 P2 <br /> (_— _—_ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VJA 982D7 <br /> 425-257-8810 - �AX425-257-8857—vn•nv.everettvra.erg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I <br /> 3�2� y,, ,-;;= � <br /> PROJECT ADDRESS <br /> .f�J M �+��5�{Lf;: L 3�a'LG SN.}-tv S'� �'VC'u'l,Y W�, .r.��.w� I <br /> Ov+ner R1ail.5tltlress Cily <br /> StaleTip Phu�,. <br /> Sp /hL <br /> 7enaM t.faill�ddres, Cily SL3lelLlp Phone <br /> �i.'R-� �."r"G��,� ((��-( yti+u,k'�'� f' ," r 4v� A R,�,N 4��u•,� � ,/r� �,1.Z3 31oe ioS�1�� <br /> EleClriCal COnlraGlof Muil Acldmss M �D'-1� City SWtelup Phcna <br /> Vc�i2� Ci �6r r�t' �-;�v=� i <br /> Slate Ucense Number Contract Prico of Work <br /> Propused Uxr.nt Buildin� Contact Person (Plan Reviev+) <br /> OescriptionofWarkto6r. Danr. ��'✓� �Z lS�"�" �uu�"^ 5 UPS'rpr'�'� <br /> NOTE� 1NIRING IPJ NON-DWEL�INGS IS RE�UIRED TO FEE <br /> BE IN RACEbVAYS, t.1C OR AC CA�LF. <br /> CITY OF EVERETT LOCAL SALES TAX CODC IS 3105 <br /> I hcreby certilv ihnt/have read and exmnined tl �,pplica(iun�nd know the some fo 6e�roe and <br /> conecL Afl provisinns ofla�vs�nd crdinances g.. ;rnrnq this t}7�o cf�vork w;l!be comp/ete¢ <br /> whefher speafred herein ornoL The pranting o/a pemv[does�tof piesume(o ctive au(henty 10 <br /> riolafe or wnCel Uto provisiai�o(any ollrer state cr local law iegulaLng conslmclien or(he <br /> pedomrance olconshucGon. Thet 1❑rn autharizedby p;e wmero/th:s on�purt}�W oerfom�th^ <br /> wark!cr� •hlGr applicaGon is made�n�1�cemery•,:r.:y the SYate CorttraUo��Lmv 78c"7 RCih�an7 <br /> 258.Zu0 NAQ ' <br /> � ti,,��.�. i 1tir��� <br /> I iyiu�tm�a —. _._ na�o- — � <br /> I <br /> I I <br /> � <br /> Eo7rr� -�y � I <br />