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l � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY QF EVERE7T PERMIT SERVICES <br /> 3200 C�DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857--www.everetlwa.ory <br /> APPLICATIONS ARE ACCEP'fED FROM 8 AM TO 4 PM <br /> �_a-�z <br /> �►Zo� -Uo3 <br /> ��� ��_ <br /> PROJECT ADDRE33 <br /> ����-,—l.v'4`���.A{� ���.t �-nA�s Q� �--in�'�¢.€Yf wQ 98703 <br /> pyy� Maii Atldreac C'tiy Stlt021p Pho� <br /> T�rn ln MailAddress City State2p Phona <br /> Po� ��vrRLL �07�jt�x, 16D� �jr�-w (�A 9�v�1 �( �S• 48 �•�ll <br /> EleGtricalContraGor MaNAdtlwsc . , .,.,„,. ....C�_ Stffie/Zip Pnone <br /> - ---�or�i-vP 8 532 S s � ��v <br /> Stata Lice�se Number CoMraM Price of Work � <br /> S�- �� �k�5'O�..L <br /> Proposed Use oF Bvilding CorReG Person (Plan Reviewj <br /> Square Footage(H residential new conatrudion,romodei or addition) <br /> pesaiptlon of Work to Be Done: ���L.r4'� ��� SD G�-gr <br /> NO7E: 1MRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVEREl7 LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have�d and examined this apqlication and know the seme to be tn+e ertd �)�7�� , r�13 <br /> eomtct. Al!p(ovisiens cf Iaws and oidinences govem�ng(fris type o�wa�k wil!be eanpleted (J✓ C/" <br /> whether speafied heiein ornot. The prenBnp of a permrf dxs not�m�ume ro prve eurnorrry ro <br /> violate or cancel fhe rovislons of any oMer 3Mete orbcal lew IEgulating ConShuction or the <br /> performance oi cons�nrcdon. That 1 am a�tho�Yzed by the owner o/M)spropeRy to peAam the <br /> 296 2r�WAC applicaGon is mede and 1 compty wlth the Stete Condactors Lew id.27 RCW and <br /> � ���� �� y�-( 'J. <br /> IQf18111R � <br />