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f <br /> ELECTRICAL PERMIT A,PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ;; ��` <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTEO FROM B AM TO 4 PM � `�-0R <br /> �COL L' �IJlI ('IV� ` UeNP1� , L, 1 <br /> � Y <br /> PROJECT ADDRESS <br /> �� ���ga•�,��f �G' hv� f3Z61 fveretl l,ifj l�' 2� � <br /> Owner Mail Addross Clly Slate/Zip Phene <br /> C �� � � `� �1 � ��i�l ��. <br /> Tenant A7ail Address City Stalc2ip phon� <br /> -- � l,� n<✓ %�� �ox 13L�, � �v�re-H �,��t� �'tg2o'I <br /> [Ieclrical ConlraClor A1a11 Address Cify State/Zip Phone <br /> �T W-tV'L� .V"C7 <br /> Slato License Number Contract Price of Work <br /> �? ��1� (�(.i �fo7���tc1 ,anil�.u� <br /> d <br /> Proposed Use of Buildinp Contacl Person (Plan Roviow) <br /> r , <br /> DescripUon of Work lo Do Done: L � ¢ �'� L � C �f� � •� <br /> — L-'L v /`�. ' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAf3LE. ; <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriily fhat 1 have reod mid exernined fliis application and knmv the samo to be fruo and <br /> correct. All provisions o!laivs and o�dinances govemmg fhis ry�po ol�vork will be complefed ��O� —C'C 'J <br /> whefher speufied herein or not. Tho granting of a pemut does nof nvsume fo give authonty to <br /> viola(e or cance/the��rovisions o!any other sfatu orlocal law reoulefing caistrucfion or fhe <br /> perfomianco o/cons ruction. Thaf f am aufhorized Uy fhe owner o/fhis property fo peAunn(he <br /> work/or which app cafion is mado anAl comply�sitl�fho Sfate Contrnttors Lmr 18.27 RCN�ond <br /> 296.200 N�AC. I <br /> � ��Z (o �r <br /> Sipnature Dale <br />