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ELEC�RICAL PERMIT APPLICATiON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />;��131 ����r,�w��, S J <br />PROJECT ADDRESS <br />IV�c,,,.c..a 1`( C2 2`131 ��ivtiJ �^-'rl C1J U`�i�� <br />Owner Mail Address Clty State2tp phona <br />►'hv�ti -�zc-z ��I �\ (z,ra,J �-� ��� <br />Tenanl Mail Addmss Cily Slate2ip Phone <br />4��z� 2z� S' p� �u 2�-y� �-� <br />t�z�'-c_� CL� n� r'�Z � N L 2e17 ��A- '� �oS3 <br />Eleclrical Conlractor Mall Address Cily Slate/Zip Phone <br />�C1ZFc-Z_ �T 9� �'I 12�tiJ <br />State Licenso Number <br />IL����� <br />Proposed Use of Bulldin� <br />-/ S�J U , LU <br />Conlracf Prico of Work <br />PN�-.\ �bSL'P � <br />Conl?ct Person (Plan Rovicw) V <br />Descriplion of Wurk lo [io Done: I N S��A t\ T��L—�t✓tiL oj�N'S- W� <<^��1 �' � 2� <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABI.E. <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />that I havo reud and examined fhis application and know the sanw lo be Vuo and <br />visions o(la�vs and ordinances govemuic� lhis typo oI work will be completed <br />°d he�ein or noL The granlin� o/ a pennR does not �rosume to give aulhonly to <br />J(ho previsions ol any cther sta(e or local law iegul�fing cons(iuclron or fhe <br />conslruction. That ! am oufL-onzed by the o�rner oI fhis propedy fo pedorm the <br />3unlicatron is mado and 1 comAlv with fhe Sfate Contracfors L��w 18.27 RC W and <br />fEE <br />i ' �) <br />//� � �, / � <br />