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— <br /> �LECTRICAL PERMI�' AP�'LICATIO�I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —ww�rv.everettwa.or9 /2-a3--o9 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � " ��2�"� ZZ <br /> � ?I 7 !3'" �r <br /> PROJECT ADDRESS <br /> �ROVtK)�`uC.K �EGtonMl. �"'(O�CpJ� �.T✓t �VER"iT �� �B�OI y1s- asS-��o3 <br /> OWnBf R1ad Addruss City Sla�c/Zip Phonc � <br /> �j�fN'i�ti II <br /> TCnanl h4.iil Addruss Clly Slale2tp Phone � <br /> �AH� Ec.tLrQ« 3yoti M��Oou��«. F������ wn �Raoi �as-asa� ��ao �I <br /> [leclrical Contraclor 61ai1 Address City S(ate2ip Phone ��. <br /> K�AN�F_EI 9�G QO `��vDU�� _ I <br /> State License Number Contncl Price of VJork <br /> � /AA/ ST�ti t/l.�1.5 <br /> Proposed Usc ol Buildin� Conlact Prrson (Plan Review) <br /> Descriplion o(Work!o Be Done: �I/S ri9�l— a lQE�6F7"A�Ct S . /`w, F�3 R 'F 2'" f�� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. � <br /> � � ,�J <br />� <br /> CITY OF EVERETT LOCAI SALES TAX CGDE IS 3105 <br /> 1 hereby certily fh�l 1 h�ve read and examined this upplicafion and know the same to be true and <br /> conecL A6 provisions o(laws and ordinances c�overnmg(his type oI work will be completed <br /> whefher specdied herein or not. The granling o1 a penruf does not xesume to�ive authority lo <br /> violafe or cancel the provisions o(any other sta(e or local la�v regu/ifing consfruchcn or the <br /> perinrmance o(construcfion. That I am airthorized by fhe o�vner of this propeAy fo perlorm fhe <br /> work lor�vhich applicafion is made and I comply�ri(h thc Slatc Confracfors Law 1827 RCW and <br /> 296.2�11'AC. �/� - /� 'l <br /> d— <br /> l� /' �. ;r� l2�a� �� <br /> ���„���.� u. � <br />� -- - -- <br />