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i - <br /> , <br /> ELECTRICAL PE'RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32D0 CEDAR STREET, EVERETF, WA 88201 � <br /> 425-257-8610 - FAX 425-257-8657 -wv,+w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I <br /> I�l �Z— �o�-ki�-r ' �' <br /> PROJEC7 ADDRL-S— S T! I <br /> �i���s'�� �, oti ��r,� �4-v� E�� t�A �eS�t �-Ls-3�a.- bGr3 <br /> UvOet MailAtldmcs C',ty , , Stete2lp PhonC <br /> Tenant ��H MailAtldress Ciiy SMte2�p Phone I <br /> (��P E.c.�'c��tc.. t�bF.S�.I �3 .�iG^�.L Lulx �-I�b�F � `'( 2S�$S- 5�1 S <br /> E!etfiCal ConhDtto� , Mull ACdrats . Ci(y Stata2lp Phore <br /> t�- oPC-�_e�s1.�s ' 3l0l0." <br /> Slate Licersa Number ' � Contract Pnce of VJor1c <br /> � S�Z . ��-�i-�.1 -�t�� <br /> Proposed Use o(6ut�d�ng Contad Person (Plan Review) <br /> Square Footago(It resltlenfial new eon6truction,r¢mafel or addi�on) <br /> Deseription of Work to 8e Done: ��i ��M-- 5�"'�1�!�► 1 1.L Si'�y— ��'r-� <br /> " " I <br /> — I <br /> I <br /> NOTE' WIRING IN NON-DW[LLINGS IS REQUIR[D TO FEE ' <br /> BE IN R✓�CEWAYS, MC OR AC CABLE. � f5��-�D/�, I <br /> T ; i <br /> CITY OF CVERET7 LOCAL SALE5 TAX CODE IS 3105 <br /> f hemby ceriify.hat I havo mnd and oxamroed this appUceGon end know the snme fo ba true end <br /> rnrreci. A!1 yrovis�ons oRaws nnd orCmanccs govr.m/n�thi»typs of�vork wifl6e comFlated <br /> v,�,e�her speel�ied horein or r,ot The g2nGng of a pnrmil does nof rosume to pive authorrry fo <br /> violeto or concnl the provielons of any otherslnte or/ecal!aw mguPhhg conaWclion orthe <br /> performance of constn�c(lon. 7hat I am euthorPred Dy the owner of this propeRy to pedorm the <br /> v,rork lor whrch eppHcaLon is mpde and!compfy wifn ihe Sfa(e Con6actoi5 Law 18.27 RGW and <br /> 296.200 WAQ � <br /> � f ,, i <br /> :rC.�P.�//�"�-�S�`� <br /> 5tg w� Caic <br />