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-f - , <br /> � ELECTRICAL L�ERMIT APPI_iCATION � <br /> I CITY OF EVERETT PERMIT SERVIICES � <br /> I 3200 CEDAR STREET, EVERETT, WA 9820� <br /> � 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> I <br /> APPLICATIONS ARE ACCEPTED FROA1 8 AM 70 4 PM <br /> L` � <br /> ��G ��J�s� 17 v�. <br /> PROJECT DRESS <br /> � � <br /> �I <br /> _��,f�i t rA I�Gi �ni l�CJI I /V �!"IJ1 Lf' <br /> Owner MailAddm,; City SlatciZip Phonc <br /> I <br /> I <br /> ITonant PdadAddress City Stato^�p Phone <br /> _ .� ly <br /> � �C)P_i_ilPrl�C�e�' t ' "- , . 3�a�`.� /:-7 /�V� Sh- �Nd��otr��� ��11� �j`3��T0 <br /> Elecincal Contractor "- nl hdaros; Gty fitaicrLip�— Vhonc <br /> �� 000 ��S 4SJ-C�(S� <br /> (t'()a" c��� - <) `;cJ �' <br /> State Licenso Number Contract Pnco 01 Work <br /> 1 V�_'�2 hQLl.l�L_�/� I <br /> Proposed Use ol Building Contact Person (Plan Review) I <br /> j ' L �t -- <br /> Descnphon of Workto Pa Done: ��l��yr�� �.�js'�+rN Pl1 <br /> i <br /> I <br /> NOTF WIRWG IN NON-DWELLINGS IS REQUIRED TO f[E � <br /> BF IN RACEWAYS, MC OR AC CABLE. -- I ' <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1705 I, <br /> 1 hereby certi(y thUt I huve reud und ernmined this�pplicn(ion and kno•n the surne to be Irue and I <br /> correcL All provisions o(lu:vs�nd ordinances�ovemmg Ihis type of work will be crompleted � <br /> �.vhetherspr.cdied herein or not. The granfing of a P�.�nif does not pres��me�n give uufhonty to <br /> vrolafa or cence!the v �ons of eny otherslafe orlocallow reqolafmq con;� vcfion erthe . <br /> i perlonnunce o/con�mctio . Thut I nm uulhonzed by fhe o�,vner ofCiis prc� y fo pr�fomi fhe ��. <br /> •vork lor which app culion i mude und 1 comply�vilh thr Stnlr Confractors L�r.v 79.2'RCLV and <br /> 196100 W�}C. li <br /> / <br /> ; -- -r �D ab, � � i <br /> � <br /> � , « ,�o — l�� �� o �s i <br /> ; � <br /> , ; <br /> � i <br />