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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 ���j _(�,� <br />d25-257-8810 - FAX 425-257-8857 — www.everellwa.org <br />�o6oS-ay/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />t; � �`t t>t� U 1�:. ��/ ��L'L' � <br />PROJECT ADDRESS <br />!� U 1: b'-1 1?� ,.1_�. <br />o�vner <br />Tenanl <br />��tJ ST� t,� 1, ) I �1�I <br />Mail Address <br />A1ail Address <br />Gry <br />City <br />State/Zip <br />SlatelZip <br />Plionc <br />Phane <br />MLC,'r�rTy E�_-.C"C�/�(C. LG /NC. <br />EleciriCal Contrac�or Afail Addmss City State/Zip Phone <br />I�( LC.� (Jr LO � > �I�) <br />Stalc Liccnse Number <br />S }`-1 \ <br />Use o( �uildinc� <br />Descriplian of Work �o Oe Donr.: __-� 1_ �—�' �)�4-1 <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIFED TO <br />E3E IN RACEWAYS, I,�C OR AC CABLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contracl Pnce ot Work <br />Cnntacl Person (Plan Review) <br />-�"+U 1TN�4�� <br />l horrbvi certdy tliu( I huvc ioad and caununed Ihis epphc�ilion und knotv fhe sarne fo be fruc and <br />conec( All provlsions ol la�vs and oiJin.inces �o��ernin� Cus 1}�pe ol woik will be completed <br />�vh.e!hcr specilied herein or nof 7he pianfiiy �(a permd does not veswne fo gn�e atrthority to <br />violale o� cancel fho provisions oI any other stafa or/ocal la�v reaul�ting const�uc6on or fhe <br />pedormance ol const�uction. That 1 run +wfhorizcd by the o�vner oI this piuperty fo peAonn thc <br />�vorklo� which applic�6on is nindc and / �ompl}� �t�dh the Sf�+fe Gonhacto�s La�v ]027 RCW and <br />29G200 WAC. <br />1, ���_ ��� -'_---' -- <br />— . � til�ii�rti� ' � <br />� <br />� � L <br />FEE <br />�5 � �� <br />j" i."_: ( � � �; � `" � � <br />