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c c <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY 01= EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857-www.everetlwa.org �I ` a��� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �-/�I/�Q�2,. <br /> �I$�5 ��V�f�J V`��`�— <br /> PROJECT ADnRE55 <br /> Own6r A4all Address Cily Stak/Zip Phone <br /> ��-� �e?S' �StGst�� we�r-► �'v�r�'� �,�a SP,2J'3 <br /> Tendnl Mail Addmas City StatefLip Phone <br /> �/F4LMEF*) 5�t3 F n�A�^c�� <br /> 2a�k'sL s�►�st+�.-� �n�-� 5o�,.;sq .�rz�..�.r b..o '/e�3'-r 2:a1 7)`1 �13 (. <br /> EleClfiC91 ContrBctOr Maii Addmss Cily Stetc2ip Phane <br /> ��l�S��aC' � �`2. �� <br /> Slats Lice�ss Number Contract Prlce of Work <br /> 2E7Yf-oZ Go�F'i�Prl. "�fZ�J MAUc.��l <br /> ProDosed Use of Building Contad Person (Plan Review) <br /> Description of Work to Be Done: y'�� Z"11'L — 'DEI+�a t'�L� ��ni(r 47oi�"Zwfr An,O <br /> J��J��a�'Tl.V Cl� 86'�' � ��4\K s <br /> NOTE: WIRING IN NON-QWELLINGS IS REqUIRED TO F�E <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 Mere6y Certify fhal I have read and examined fhls eppllca�on and know fhe same to be t�ue and <br /> correcf. All provisions oflaws and ordinances goveming f Is type af work wilf be completed <br /> whefher speclfled hereln or nof. The granGng ol a parmR oes notpresume to g(v auth4rity to <br /> viol cancel the rovislons of any other stafe orlocallawregWaftng consHuet�on or Uie <br /> orma ce of cons�iuc on. Th t I am authorized by fhe owner oflhls property to peAor�n fhe <br /> �ork for !ch applicaU is mar�e d I comply wifh the State Contractors Law 18.27 RCW and <br /> 296.200 AC. / <br /> i L������—�� <br /> 1 I �oz.� � <br /> Signatwe �� <br /> �G�'�9SL� (�,L 'A� �"��1CG�"i <br /> GG ?��^7'7�'I " 13j10 �^C' il_ G�F�,S CANr� <br /> .., <br /> l 'd S§9� 'ON '�N I 'SW3ISAS 83MOd N338983A3 Wtl50� l l O l Ol 'b 'nON <br />