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Rpr 14 06 03:02p travis bradford 360 657 1106 p.5 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF E'JERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FA� 425-257-8857 — www•everettwa.ory <br />y --� 7-0 6 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l Z`l.� lJoNtrJn,.� �1� L <br />PROJECT AODRESS <br />ila t� S�- �c�-��-�:�, ; <br />Owner A7afl Address <br />Tenant MailAddress <br />tJ��l /� % �C.f� L_ <br />Eleclrical Canlraclor Mail Addross <br />P�iCTi? AL /� `iG•/ N l <br />Stale License Number <br />5%L <br />Propased Use of 6uAdinc� <br />Descrfption of Work to Ba Done: <br />NOTE: BE IN RAC WAYS MC OR AC CAB aUIRED 70 <br />CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 <br />I heieby certify ihqf f frave read and ex�mined fhis applic <br />Clty <br />City <br />City <br />C od oy-la <br />Slale/Zip <br />State2ip <br />SlaleJZip <br />Contract Price of Work <br />Conlacl Person (Plan Review) <br />�tion and know fhe same to be true and <br />lhis type of work wil/ Ue completed <br />does not prnsume to give authortty to <br />' law rer�ulatinn construcficn or fha <br />� owner o1 fhis proporty fo peAorrn Ihe <br />S(ato Conhac(ors Law 18.27 RCW and <br />r <br />� t��o� <br />. „-:/ <br />,� y' , <br />FEE <br />� <br />Phono <br />Phone <br />