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, <br /> Tao�7hvq ,� �' �, , ��� <br /> , — <br /> ELECTRICAL PERiVIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES q <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �� —I /�-D� <br /> 425-257-8810 - FAX 425-257-8857 –www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM ���/D��� <br /> .�UU 1 CoLC3Y <br /> PROJECT ADDRESS <br /> OWnef L9ail Addre<s Cily Slnlu!Zip Phone <br /> CN�cAc-o Trrc� 3v01 co�cy �vE.c�r� w� 98ao� yar • 2rb�-3Gs3 <br /> TCn�M 1,7aii Addiess Cily Stale2ip Pnone <br /> ��IfL �L�EGTi¢tC 34n1 /�c.�lti(,�NLL ��'ti'r-� �/�} g$1U! �JdS-1SJ-�7Q� <br /> Lleclrical CoNraclor MaA Address City S!ate2�p Phone <br /> /J���Ec�ysc�o �soo•� <br /> Sta�o Licensr. IJumber Coniract Price of Work <br /> QF(=fGr"_ <br /> Proposed Usc of(3uildinc7 Contact Person (Plan Review) <br /> Descriplion ot Work l0 9e Done: �NSTM4� �E4�U rCA a0• Ahr C�q�u�T fp,(, �pPy /!�L(/�' <br /> NOT[: WIRING IN NON-DW[LLINGS IS RCQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 .— /� <br /> 1 hemby cerfily fhaf I have read and exarnineA fhis applicution and know fhe same to bo Wo and I� `-' ' '�� I�( <br /> I conect. All p�ovisons o/laiti:s and oidinances c�avernm�this fype o/n�ork will be completed <br /> whefber spocilied herein or noL The gran(ing o�a pennR does not �resume fo give au(honty lo <br /> violate or cancel the �rovisions o!anv other stale or local la�r«�ul.ating construction or the <br /> performance o�cons��uction. Thaf!anr aufhorized by fhe owner o!this property tn pedonn the <br /> wo�k loi which application is n�ade and I cemply a�ilh fhe Stafe Contracfors Law 78.27 RCW e:�d <br /> 296.200 WAC. <br /> � 0�,�.. l��lq/09 <br /> ��� <br /> ,-�t�n.9tulo Dale <br />