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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98:01 <br /> 425-z57-B810 - FAX 425-257•8857 –www.everzttwa.org <br /> APPLICATIONS ARE ACCEPTED FRoM 8 AM TO 4 PM <br /> II I �UC� �l.`Ut�cl�/� �2J <br /> PROJECT ADDRES$ —� <br /> I <br /> � <br /> Owner �dail Addross pty Stei-2ip Phonc <br /> �z5 {' E��o��� iJ�l-vo il7o�!_ C�,�.�. l-I- �.; �/u�s`I35'-fs��j <br /> TCna��tt Ma�l Addrass � City State2ip Phone <br /> � M<I-f� FI«��,� zL� aa33 �5� ��{ 5. �ios �=fl� w� 5Si3y as3-�r-ss�s <br /> EleetricalContfdttor Mn�lAddress Ciry St�te2ip Phonc <br /> �tC-i�oEL � �iv � �35�.0 <br /> Scate license Numher Contraet Price of work <br /> G�r�«r�_ /c zs < l�= �-;o�, <br /> 5.1.. 5;,,...�.,,_�.�. � <br /> P posed Us ot Bu�ldinp Contact P¢rson (Plan Reviow) <br /> DescriD��on of W ork to Be Dono� � � L. ��.�4 /�r t'�n�� / ��� C��� l 5 � � <br /> 7—� � <br /> �� —r'b � <br /> � <br /> I <br /> I� NOTH: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �/ � �. <br /> G�_,t_�Z <br /> .� <br /> �� CITY OF C-VERE7T LOCAL SALES TAX CODE IS 3105 <br /> � � � <br /> 1 hereby ccrt�ry Ihof 1 h�vc road and examincd this applicetion:»d know the same to Cn 7rue and / �� <br /> corroct. All p!ovisions oll�ws ond ordinances govening this type ol work will be�comp'etod � <br /> � whOthOl SpCti�ed nu/dn O�,nOL jJ�e grtmting ol a pr.imit doBs nOt rosume!o givo aufhonry fo <br /> vi0fnte or canCo/the>p»visions qJeny otner stpte orloeel law regUPting cons(�uclron or the i <br /> ! porlorm�ncr�ol con�tructlon. T ot 1 am authonzed by tho owrter o/this property fo perlorm�ho <br /> Iwo�k!or which App(lcation is dC and I comply�vBh fhe State Conrrar,rors Law 19.27 Rr,W and ����� — C��--. <br /> 296.200fN/1C. � <br /> � // <br /> , , � � - / 3 - / � <br /> IJiqnalurn ' Dnte <br /> I . <br /> // <br /> I�..�_. ._— .._ .. __. _.. � <br /> ZUOC-6000 f�j JI21,LJ3'13 OiId.3li 99FCZOt90Z SF3 I\F Ft�L ZiOZiCTiCO <br />