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ql_lu-Il-c�ll 11 :52 From:LNP 8886159679 To:14252578857 Pasc:1�2 <br /> ( <br /> � <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32�0 CEDAR STREET, EVERETT, W� 98201 <br /> 425•257-8810 - �AX 425-25?•ad57 -�nvw everrttwa orp <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ���� <br /> e <br /> ��a� c�.�.���,.1- s� ��,-p Fl- �A 9�av� <br /> PROJECT ADDRESS � <br /> OwnCf Mail Atldrcse C�ty Stale2lp � Phone �, <br /> �,,. T ��,b;�, ����� cL..��„�I- SE. �v ��EI- ,_���aQl �la�-�-9 �a� <br /> Tenan MadAdAmss Cny State2ip Fhone <br /> l�4�c�f���-r��L�C �a33 i5F ��,� 5. �lo� �,I�� wA 9f�ity a� •3W�55v5 <br /> EleClilc�ICOf1tf8CtOf MeilAtldress Cdy SlntelZip Phone <br /> E OE'L D a � I �'� <br /> Stale LiCense NumGer ConifBGt Pricn of Work <br /> �t�� � I ��5� �;rv.w�cir�J <br /> Proposed Usa of Budd�ng Contoct Person (Plen Review) <br /> Description of Work to De Dane �t+n ar� !�g I,.S - C� I'Wo� <br /> i ! ' I <br /> �r.o�^o�,;,s� C��r�„ ( ln� �e� Ic �r�„ [?ct� <br /> V <br /> NOT[. WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 6E IN RACEWAYS, MC OR AC CADLE. <br /> ICITY OF EVERETT LOCAL SALES TAX CODE IS J106 � 7U � O�I <br /> I hereDy certily fhat 1 hava read and exammetl this appOcation and know fhe same tu be hue and <br /> Ico�iect. All provl^ions of laws and nNinances ynvemniq fh�s ryPe of work will be comnleled <br /> �thrfhei specdmd hemrn or nol Thp gra0f�ng 0(�pPrrnif Uoas nof prasume fo grve avthonty to <br /> wo/�7e or cancel fAe provrs�o�rs of any ofAei stnlr nr inral law reyulaDng consbuchon or fhe <br /> pBAJ!/118nCP OJ G0�)5141LI�0/1. hB(I aOl ellfhOh:Ctl hy fhe rnvner V�fhiS property(o pe7orm the <br /> woi6'loiaahrN a��ucero��s »de and I cnn;vv�u!h fpr St3te Confrac(ors l aw fA 77 RCW and <br /> 796 20 14'A- . <br /> , � ���� <br /> � 8 -i� - �/ � � �.� <br /> S�gn,yliire pe—r—"I—� <br /> � <br />