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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PEFiMIT SERVICES <br /> 3200 CEDAR �TREET, 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 /> `IS•Go3 �{ 4�w�YkK�Ler �'� L.�esr- �as�� VZa�c9 � �ucu�ca{- (.�c� 9aZA3 <br /> PROJECT ADDRESS <br /> ��o � 3�a7 Mc.- ON S� ��lr�A `1�lzy- zao}- <br /> Owne� Ma�A�ldress Cily SIa1e�Zip Phone <br /> cy,�� Z,�, -os�y <br /> ��-����_��— --- <br /> 7enar,I MmiAdaress Gty StaldLv Phona <br /> �,-�� E�u.++�� ts3o� s� z6�st. �rw�. wA. 9eoas y�s--�y�-s� o <br /> Flect�¢al COniractor hlail AAdress City Slale2iv Phone <br /> '��Zr.r�lc � ii3 �raT � soo,�o .dd <br /> Stale License Number Canlrad Price of Wark <br /> ��. �}Ca��.r — �1 �A <br /> Proposed Use ol Dwldm Contad Person (Plan Review) <br /> Descriplion of Work to�e Done ������"L ^�b��e,,r yr-oo3 <br /> I1 �� ,_ <br /> Lh.s.�,4�s ���c.--.�__�s�d1^ ��I'io,.� Tr�..l�c,rs . arntY W�.a�ft <br /> �x,,�c_. �o v- ��.-,.,.o I� }-�o.�,_ �.��2�_�a�. 'I <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CAOLE <br /> y925- �0 <br /> CITY OF EVEREI T LOCAL SALES TAX CODE IS 7105 <br /> I herchv rnridy fhnl 1 have r��id and erarnmrd fhis appdcnfiun nnAAnow Iho smno fo bo frue anA i <br /> con��c( 411 prowsions o(la�rs nnd o�drnance5 govormnq fhis tyPe o/work wdl bo contplolod <br /> nhrfhe�spociheAho�em oi nnf 7he gr�anfrng ol a;�r�nuf does nof prosume fo givo aufhonty fo <br /> vioia(e rn c.mcol fhe piov�s�orrs:�l urry ofha�stafe or locallaw rogidalin�consfruc6on or tha � <br /> pnrfonnance o/consl�uchnn 7haf I�nr aufhorireAby fho o�rner ol flus properiy fo perlorrn tl�e <br /> u-ork lo�whiclr npphcahon�s rnade and 1 rornply�mth fhe Sfafo Conhactors Law 1B 27 RCW nnd <br /> :96?00 WAC. <br /> � ' � I <br /> �� _ � � , ��1�,,. 3"� 2004� , ' �� � <br /> o�<< , , - <br /> i j <br /> i � <br /> ,I <br />