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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT' PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www,everettwa.org <br /> APPL�CATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> b 1 I `] �� �.c�a��� �4v� , . �r-�-. W/#-, 9 �203 <br /> PROJECT ADDRESS <br /> /� .�-�y. a� � E�� -5J ►7�s .,����, ;-� �v�, Ev�t. Y�82�3 �1� 5�36g- o5ab <br /> O�me� h101Addl fes5 Ciry State/Zip Phone <br /> .�� <br /> Tenant Mail Aaaress Ciry Stale2iD Phone <br /> �r-w�� �1�.�-tr�r 19�3� ��ac�o,ZLK. �d• 5nol.�m��1��.,� 98292� <br /> FlectricalGon�ractOt A1eilAddress c;� Sta;e2ip H�5_3��Pno3� <br /> Fr� �t��l._ �7�3G � `�52- 'J �`b ��/ <br /> Statc Licanse Number Co traet Price o1 Work <br /> c�{��-�1 �.'xc:.��_ <br /> Proposed Use of 8uiltling Coniact Person (Plan Review) <br /> Descriptian ot V�lork l0 6C Done: �� S �'�CLYI�. ( i(1 CL y�G` � . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAVS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J10G <br /> I heieby cert�fy thal I Nave resd and examined fhis appli�ation and know fhe same b be frue snd <br /> cnnoct. All provieionc oJ laws snd ortlinonces govem�ng this type of�voMr wdl be compfeted <br /> �vhethor spoafied herein or noL TAe grentrng o(a pomut docs not presume to glve authonry to ���D l —��, <br /> riolafe or canco/the provisions nl any othe�etete oi loral Isw regideting construc(ron or fhe <br /> pedormance o/construcfron. That!arll authonzed by(ho otvnerol this propery to perform the <br /> 96 200�YAC ap���cafi0r)i5 mnde and I compty witb the Stafe Confr�alors L��v 18.27 RCW and <br /> c��cc,ro--�n�. �oc�.� �-Q_�- `�� J� <br /> SgnaWro Dete <br /> L[1!TO 39�d �I�1�3�3 NIhia3 bTSTZ9809E BZ�OL L00Z/LT/i0 <br />