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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES „� � �a7 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 J <br /> 425-257-8810 - FAX425-257-6857—www.everettwa.org �D�D�Jv�6 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� �oll� �1��. <br /> PROJECTADDRESS� <br /> �,lrl�1 �,1��1e t"�U(L�� <br /> OWnef ailAddrecs City State/Zip Phone <br /> ►���,,,n1, �o �Fre . �$�7_ �11� ��e Cllt'n,c�-{ � ;�H �'1$�) 3�U�0�� <br /> Tenanl Mail Address Cily Slale2ip Phone <br /> J�Y I I,l m J�� ��l h - I I'Z 1�- t�X1 k �S IZ�' ��h l.�A �?12�0 3(,Q �g„� • > � <br /> ElecMcal Contra tor Mall Address Ciry Stale/Z�p Phone <br /> i�.�umc� �i�l� D2 � ►c� cxx��' <br /> State License Number Conlract rice of Work <br /> Aur1,o I �J,�l�°� �sir�, (��f� �c..m.�o ��,:,� <br /> Preposed Us o(Buitding Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: L(pti1 VOI�U-Q� \U✓ �l�ri� - �.i���j, ��'�Y (111.���- <br /> �f'ClLY11t� Sl/�S�m�— LQ,.] ����Qt.0 IiG�-�1Yl�A. <br /> NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR�'1C CABLE. <br /> CITY OF EVEREtt LOCAL SALES TAX CODE IS 3705 <br /> 1 hereGy certJy(hat I havo read and ea�amined fhis app/ication and know fhe samo lo be true and <br /> correct. All provisions ollaws and ordinances goveming this type ol worN�vill be completed <br /> �rhether spoci6ed herein or noL The gr.nLng o(a permd doos nofp resume fo givo aufhonry fo <br /> v�olate or cancel tho piovisions olany olher stalo or local law regulating construction or the <br /> perlormance o/constn�ction. Tlrat I am authonzed by!he owner o!fhis propeRy lo paAorm the <br /> work(or which appdca(ion is made and I comply wRh tlie State Contractors Lau� 18.27 RCW and <br /> Zsszoo wac. - �J' C� <br /> ��.�-� �l ���Q�- `�(� 1 <br /> ig afure D te <br />