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r _ <br /> , i, <br /> ELECTRICAL PERMIT APPLIC�4TION <br /> CITY OF EVERET f PERMIT SERVICES <br /> 3200 CEDAR STRC=ET, EVERETT, WA 98201 S<- a.0 —O� <br /> 425-257-8810 - FAX i+25-257-8857 -www.everettwa.org `✓��O ��) � � <br /> APPLICATIONS A�<E ACCEPTED FROM 8 AM TU 4 PM <br /> / /c�3z Gd�.c;�Ree.✓ G✓P� <br /> PROJECT ADDRESS <br /> LUEF�aec�� /L�sa� C��e�t _ <br /> Owner Mail��ddress Cily Stale/Zip Phone <br /> F/O ✓Da�7/� ��T/�i4B� ��6 3..t 6vcti.!¢�.,! �✓e�� �deR c-j! �/r9 <br /> enant Mail Address City Stale/Zip Phone <br /> �/� "? �i/R// C`'%cr/ic.. Gtd3 3j sT �,/� S s��/ile._ wR `/_BioS (Zv6/598-9���' <br /> Elechical Contreclo� Mail Address Cily Slate/Zip Phone <br /> �FREA�!✓E 9s� c� ��!50� <br /> State License Number ConVact Price of Work <br /> ��S,A�R�.�T sn� <br /> Pruposed Use of Building Contact Person (Plan Review) <br /> Description of Work lo Be Done: L��!C 1�/�Ca�� / �U ��i I�;'S���R�. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �, <br /> I hereby certily fhat 1 have read and examined this applicafion and know the same to be We and �o gds -1 r a <br /> correct. All provisions of laws and ordinances goveming this type of work will be complefed <br /> whetlier specd�ed herein or not. The granting o!a permit does not presume to give authority to <br /> violate or cancel the prnvisions olany other state or local law regulating construction or the <br /> performance o!constn�ction. That 1 am authonzed by the owner of thfs�roperty to pedorm the <br /> work Jor which applicafion is made and 1 comply with the State Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ! l _ i�� �_r� ��(%/�(/ <br /> �' iynafUie��=-`± ete <br />