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_� <br /> ELEC�'RlCAL PERMIT APPLlCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S�fREET, EVERETT, WP, 98201 <br /> 425-257-8810 - FAX 425-257-8557 -www.everettwa.org � _ �y ,.oS <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM - DEBIT & CREDIT CARDS ARF NOT ACCEPTED <br /> 113C —n S . L �e-��.1F /97iCc C�.�� <br /> PROJECT ADDRESS S �/S - <br /> S� �Ac{ tq Sf Coh, z c�{i/ ��y 15',:�6 S'�raF /(/c�- >c�/ /3�4�� C%E sS Z-�%ia�: <br /> Owner Mail Address City � State/Zip Phone <br /> Br E' 13��at, � 13 �„� �o sa .,u �� ,�;�:�� f �..O,.r'.�s S <br /> Tenant Mail Address Ci y State/Zip Phone <br /> (f��-. <br /> ��rry . !s . v c � 7�1 d n //�-��.-C�� r.,i R p �co�•*F-I- �r�f- 77� S'S 3s� <br /> Flectrical ont�actor Mail Address City State/Zip Phone <br /> IO U. �` <br /> (�c .'r.i n�c c �S L 3 — <br /> State License umber Contract Price of Work <br /> IC� ��Y!( �'YCYG. ��U�/[`I <br /> Proposed Use of Building C�nt�ct Person (Plan eview) <br /> Description of'Nnrk to Be Done: ia,S{.1L (i 1 Sr� c(T., c 4a.�.., c L:f/e-5 g � Z) <br /> S � � a l,•._(S � �� �...cr v � K�s�:. ac�/: `� <br /> � <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> ; BE IN RACEWAYS, MC OR AC C�.BLE. <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i� I here6y certi(y thaf 1 have read and examined this application and know fhe same to be true and <br /> � r.orrect All provisions of laws and ordinances govermng this type of work will be completed <br /> ��.. �.�hether speci6ed heiein o�not The granting of a permd does nof presume to give authority to <br /> � violale o;cance/the provisions of any other state or Iccal law regulating construchon or the / <br /> • � per/ormance ol construc6on. That 1 am authorized by the owner of this property to pederm the / <br /> � �vork Io�which application is made and 1 comply with fhe State Conlrectors Law 18.27 RCW and ri•� <br /> i 296.200 WAC. �J <br /> � �._ �, <br /> � na ��"' C� �ate � <br />