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�. (. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org ,b�ag�, �J <br /> APPLiCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �/�/p"/�� <br /> JZU/ <br /> � wz <br /> PROJECT ADDR� S <br /> Owner Mell Aatlress City SlalefLip Phone <br /> �? + 0:.c1 LISa �' iU:k� 53�j Yl e. L�e Evue LJ� .203 -o�'�J�'8 <br /> Tenant Mail Atlare55 Cily Stale2lp Phone <br /> Mt�ro �'/�� � (� sf . +� D $/ 53- 55 <br /> EleCdcal ContraCto Mail Address Clty Slete2lp Phone <br /> nnE —� � Lg � � , $�ao �- � <br /> State license Numb r Contracf Price af Work <br /> \� � 1 <br /> � � lJz�'c 9 �ViG2 �� •.� ��.••�w�+�v�S <br /> Proposed Use of Bu Iding Contact Person (Plan Revlew) <br /> Description af 4Vark o Be Done: I'c.nn 0 .lv�^ �L Ila t r n� a�..a.� � �ereres � �Y�+ � <br /> G f I _ � � I-�1� <br /> vV�enlE"�� �J'�[�.-r�GYv� ��. O eGl� <br /> NOTE: WIRING I NON-DWELLINGS IS REQUIRED TO E <br /> BE IN RA EWAYS, MC OR AC CABLE. a � <br /> I �'� <br /> CITY OF EVERETT OCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that h ve read a xamtned this application and know the same fo 6e hue and <br /> correct. All provisio ol laws an rdinances qaveming this type of work will be completed <br /> wnether speci�ed h ein or nor. s grantinq of a permrt does nol nresume fo give authonty to <br /> Violate or ca el th roVision any other state orlaca!law repulatrng construction or the A <br /> peAom�anc of co rucNon. at I am authorized 6y fhe owner of this roAerty to peAorm the l.� <br /> worK for w n a ii ation Is ade and 1 compry wtth!he State Contrac�rs Law t8.27 RCW end <br /> 296.20o AC. O �}� <br /> %� ��� <br /> io-.� �- <br /> � <br /> ignat Dale <br /> £i2:agpd LS88L52S2bt�°1 6L96Si9888 dN��W�a� £2�ST SS02-82-1J0 <br />