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,lur,"[S. 2:�1"—. li�i;A��1 �;;��nd Se�urily In�_ iJo.(i1�14 P'�,/1 <br />ELECTRICAL PERMIIT APPL,ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, w� eezoi �-�S-� y <br />425-257-BB10 - FrU( 425-257-8857 - r.�,w� everethva org � � ����� (lc� <br />APPLICATIONS ARE ACCEPTED FROM 8 Afd TO 4 PM <br />� ' I� �o�c�c.,� <br />PROJ[CT ADDRESS <br />. <br />Ov:ner L4a�l AECreJs <br />� `' � VUi d(r i <br />Tunanf L1�IIAddr ;5 <br />EletUical Contr2ctor Atail Aatlress <br />SOI�i i Px9��D7 <br />State License Nurc�ber <br />�r� ucn.-�� <br />Praposed Use of Bwlding <br />�escriptfon of Work to Be DcnO: <br />Ciry <br />Ci)� <br />Ciry <br />��z �� <br />38� - <br />Sg:efLip <br />Sa'elZip <br />-�S?0� <br />SMte/Zlp <br />c �, � � � <br />ContraCt P•ice ot Work <br />�Pn Shvux��J� <br />Contact Parson (Pfan Revieri) <br />Pn�oo <br />Ph��e <br />Fnore <br />NOTE: WIRING IN NON•DWELLINGS IS R[QUIRED TO FE[ <br />13[ IN RACEWAYS, A9C OR AC CABLE. � D OO <br />CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 � <br />1 hereby ccrtily fl,nt 1l,ave read and exem�ned fhis opplicohen end know fhe same to be hue end _�� ��� _� /� <br />corre�C Aq provisians o/foros and ordlner7ces guven�ing fhls type ol werk mll be CCmplBfed `J �y <br />�+hoUior sPoc�f,od horafn �r not 7he grarrt�ng ul +� p�rnid does not p�c5ulnc fo �ire uvthunfyla �� � <br />Nolata oi cancal lha prnvisions o� any olher sWfe crlocal law regu/ating construcfion o� U�o <br />per'crmance o! construcGon. Thaf 1 am aufha¢ed bylhe owner of this preporty to perlorm fho <br />�sork !or ��-hich oppllcallon is made and I eomply with (he Stete Contrgc(crs Law ]8.27 RCW end <br />29S 2P0 WAC. , <br />y aiynnw�e r UatC <br />n1, .. T-._ � , <br />��y_... •..• r. <br />i 4� . -� - � � <br />r� <br />U <br />