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;� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETr FERMIT SER�'IC�S <br /> 3200 CEDAR STREET, EVERETT, VVA 98'L01 <br /> 4?5-257-881G - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P��l <br /> Jc�Gr� C�LEIJWh[�l� f�VE. <br /> PROJECT ADDRESS <br /> 5�r�o�tc�m�s�r ��+� t o . eox Ilv"7 EvE�cTr. �✓� 9 ��06 <br /> , <br /> Ovmef Mail Addioss Ci�y Stato2ip Phono <br /> C,�c--�«,a� Ro.Bc>x r7oC,f �PEr�n,oNa Gv'r� 9�n�73 <br /> Tenan! Mail Addross Ciry Stato2ip Phonn <br /> �x��� E����►z�c,INc. ylr�q �RGr-��� l��t. . 7�Cc�r,�� I�✓� �N�B�S.�N7i-�c�q <br /> ElecficalContracto�MailAddross Cry Smto2ip Phona <br /> Ex�`��=oo s�r= �I o , Soo. o0 <br /> State License Number Contract Price of Work <br /> LEuct�A-R.. �o��h�vrUnliCA ��c�i�1 S� TE-. fj�,'in! �U _ YYIvSE►2_ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �PG2A1�G r�lJ �7(!S i 7!�lC� �U��� ��1zV�L� TZ` "L��fr <br /> ��fL #=L{nt2E E�CPAn�S�onl �y a�711E2S . <br /> NOTE: WiRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CIiY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby certi(y thel l heve reed end erammod(his opplication end know!he seme to 6e true and <br /> correcL All provisons o/lews ond o�divancec yo�emmg thrs type o/work will be completed <br /> whefher specified herem or noL The grentmg oI e permd does nof presume to give eufhonty fo <br /> violete or cancel fha provisions oleny other stefe or locel law reguletmg construction or(he <br /> peAormencc�o/construchon. Thel 1 am euthonzad by tha awner aI this pmperty to perlor v fhe <br /> �,ork/onvhich epplicetion is made ond 1 compty with fhe Sfefe Contractors Lew 1827 RCW end <br /> :96.200 WAC. <br /> 1� � � _ <br /> Si naturo Dato <br /> i'° ����,, a <br />