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�— <br /> ELECT'RICAL PERI1�lT ��PPLICATION <br /> CITY OF E�/ERETT PERMIT aERVICES <br /> 3200 CEDAR STREET, EVcRETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-wwvd.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � �c� I t c���Pt� �f4 « u���� <br /> PROJECT ADDRESS <br /> ����•e'1� �ti1uL L LG L I,� �,'11 ��G�?'i�u�Q lg[ v�l� 57'u (�l � � t�� <'G� . <br /> Owner Mail Address City State2ip ^�� Phone <br /> L�Lr) �..��/2 C- / <br /> YV��.���-�S. .R?� l�o/ �l/�?l !�t[ � �c�a.� EC��,�-i. c-�/N' <br /> Tenant ail Address City State2ip Phone <br /> /- / � r <br /> �l" ��� /%�r a�_% c�IS c�'�i`l- TT�vfr.t�u�� �C! </d'C>;j�s'�2%2c- _� <br /> Electrical Contrector Mai Adtlress City State2ip Phone <br /> 5��i.� � �<iK� v21 �—� _ /��, , <��> <br /> Stat�nse Number Contract Price of Work <br /> ILF�C.� 1 � _ <br /> Proposed Use of Build�rn Contact Person (Plan Review) <br /> Description af Wurk to Be Done: -_'/-��3 � �- ( '�� "���'�`� �''�'��{C�' �L��L��("� <br /> � <br /> � /�c�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN F2ACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that 1 have�ead and examined this application ano kno�v the same to Ce true and <br /> conecL All prows�ons o/laws ard ordinances goveming this type of work�vill be complefed <br /> whether speci(ed herein or noL The granting o!a peimd does nol presume to give authonty to <br /> violate or cancel the provisions o(any olher state or local law regulating construction er the <br /> pedormance o/construchon. That 1 am authonzed by the owner o(this voperty to perlorm the <br /> work lor which apphcation�s made and I comply with the State ContracCor�Law i827 RCW and <br /> 2962 WAC. <br /> al � /,�� L��L � �• C ' S ` <br /> 'Signature ate /�� <br /> /�� � � <br /> r . . . . . _ . _ _ ._.._. .... _._ ._ .. _ ._ . . . <br />