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UI. '�I;"P013 11 : 24 P:1.A -1?5 :17i 197(i Itl':S I�:I.I(C.'I�HIC �001 <br /> EL�CTRICAL PERMIT APPLICATION <br /> Cf�'Y OF EVER�TT PERMIT SERVICES i <br /> 3200 CEDAR SlREET, EVERETT, WA 98201 <br /> 425-257-8810 - F,4X 425-257-8857- .vww.evereriwa.org I _�g_�3 <br /> APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��3 ���I O� <br /> ��� 4f/1'17,Od�� ] �F , _ <br /> PROJECT ADDRESS <br /> � <br /> �LhL.6 �� ��.,, �13z��a,•�6w�ly,� GG.� 99rzo � �/as-2szaz_3-� <br /> Umer Mai�Adaress City State2�p Phone <br /> Tenan� MailAdaicss City Stete2ip Phone <br /> e i•� �_�r���>i�ti /0� -�.rr,v.� L� -r.�t'✓Gns G�1y 9�z-sB y�yu/7 •y <br /> EledncalContrador MailAdtlress CMy StateZp Phorre <br /> ,+2��'��s9(�,�y �� o <br /> State License Number Contrad nce of Worh <br /> / / /l L/�li�� <br /> Proposed U�' se of 9ui�ding Contad Pereori (Plan Review) <br /> Description of Work to Be Done: � /Pi�'I I` �• ,/ �n v�°9r�G(�� <br /> � ,Ek'f�il�ns '7�/Z t0 � r�r0 �" �-,� ��✓0�,/ !� (�GG L �_ <br /> i NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> I BE IN RACEWAYS, MC OR AC CA9LE. <br /> II CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 � '�� . �� <br /> I, � I hereby oeAAy G�s(I hav�+road and oxamined t7�is applicafion and M�ow tho same to be trve and !�. � ��I I D� <br /> cor�ect. All provisions o/laws and ortiinances govem:ng fhis type of work will De rnmplefed _, 1 <br /> •� � whefher s�cified heretn or not. The granting ol a parmd does not presume to give authonty fo � <br /> � i vio/ato or cancol Iho provisions of any o(hor sfafo or local faw mgulafing construction or fhe <br /> ; performance ol cons7rucLon. Thaf I am authonzed by the ownero(fhrs prv,oerty to perform fhe <br /> �, work Iur whrch application is made and 1 comply with fho Stafo Contrsctors Law 98.27 RCW and <br /> � 196200 WAC. <br /> , , _�!�N�tM �'.�r �/�2d/3 . <br /> Sipnature �e�o <br />' .. - � <br />