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Ocl 14 10 10:46p AI Thom <br />360-568$400 p.2 <br />ELEC7RICAL PERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STHEET, EVERETT, WA 98201 l O� 1 S—/� <br />425-257-8810 - FAX 425-7_57-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />� ��Z� -�-��%����.�J ��iA-�, <br />PROJECT ADDRESS <br />5'� r� LA-� � <br />�Ni <br />/Zl ��`crCjf�E,V G+%•� <br />Muil AdEmss <br />�,Zr LiK�lLGRE'C�-� 1 <br />Mnil AJdre.: <br />Gity <br />Ciiy <br />� <br />CIO�D- v�'� <br />Lk- `YtJ - �r�u • i ���r� <br />Staleflip Phonc <br />cL��, <br />SI�IMLp Phauu <br />ItilE i/ZJ r-�Ft?�+L [-�C %'P�X 134-4 SNal�nti5'N WA �f'2%��az��� `l2S' �/S � Phons <br />Eleclrical Contractor Mail AdJ�eas ���Y <br />�4rl7CQi=�-�i4)(CiP <br />State License Num6er <br />L <br />�' L�"7d �'" <br />Contracl Pnce of Work <br />CoM�ct Person (Plan Review) <br />/ ` 1 <br />Descuptwn of Work to Be Done: L I C7 i�T11J i� �TRG Y iT '� � V� � - <br />I NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />I BE IN RACEWAYS, MC OR AC CABLE. <br />FEE <br />���. CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 <br />! 1 hereLy cerfifylhqf I liave iead and exomined fhis app�icetion and know Ihe same (o hr. truc and <br />' conecf. All provisions of I�ws and o�dinanr.es govemuiy this type of worlc wdl be completed <br />�� whefher speci(icd hemin [not. The g�anhn�7 of a perrrul daes nof presume lo yive authonly to <br />j vioi.�te or cpncel the pro !si ns ol nny other stale or local Imv rogWafing consfruc6on or the <br />�, per/nnn�n e o! cwisVu Uo. . � hat I am aulhonzed by the o�vner ol fhis prope�ly to pedomt the <br />.__. __...�:,.�. ......r;,...i nn �mnrla anrl 1 cnnrnlv w�Ih flte SIAf9 COOfff1C(OIS Luw �8.27 RCW and <br />�Q <br />i� <br />, l�; ' �� <br />V <br />