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Ju1. 11. iii12 11 : 16A�1 �Jo. 4�25 P. 1 <br /> r <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC6S <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Iol1 � rown l7r C-� , w� ag�3 <br /> PROJECT ADDRESS <br /> � d 1�v�Ku <br /> Owner Me��AEdresa Ciry StotelZ�p Phone <br /> Tenent Mail Addtee6 Cily SlatelZlp Phone <br /> cm►,1��irr.� ► nc �4��5 av�oad�a� C-�/ v�A qg2�� �z52�1 � �h <br /> ElecltiCelContfattaf MaitAddie66 Ci� Stale2ip Phono <br /> cma�M�-ao� w� 25� � <br /> State L(cense Number Cantract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptlon of Work to Be Dane: RV 11 `�OW� � :J �� __.___ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify thaf 1 have re�d and examined this applicah'on and kno�v fho same to be frue and � � <br /> correcL All provisions of laws and orclmapces govemrng lhrs type of�vo�k�Wll ba complefed �I��- UL) �— <br /> ��hoiherspecifiodherein ornOf. The grnnting o)a pemut does r�otpresume lo give aufhonfy fo <br /> violataorcancolfhe provlsionso(anyofhersfe(sorfocallawregula6ngconsfructionorfhe <br /> perfomisnce ol conshuclion. That I am authonzod by tho owner of Ihis propoAy to perlonn!he <br /> work lor which applicotion is made and!comply with tho State ConMecfors Lew 18.27 RCW and <br /> 296200 LYAC. <br /> ►�I�b� ���aa�a.�� �1� i i � I 2_ <br /> Sia . lure Date <br />