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ELECT�2�CAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREl-f, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIOYS ARE ACCEPTFD FROM 8 AM TO 4 PM <br />�L%��• ��flOf'�Nfi ��jJOc, �✓El�7T ���C3 <br />PROJECT ADDRESS <br />'7 -G%-Og <br />� o�a-7_�47 <br />/, <br />�I�LL *�c�U�(1,'� �\UF'N /�ti-�, /ii/Ji7/:a,U%i i�Uc/'✓E �vc`%�t�TT (/J� %5�3 �{is; lss 9; <br />Ow�er Mail Address Clty Stale/Zip ?none <br />Tenanl <br />l � -Nl <br />Electrical Contrador <br />State License Number <br />Proposed Use o( �uilding <br />Description of Work lo C�e Dune: <br />Mail Address <br />Mail Address <br />���1'1 ��` <br />i�'—�'.`'?�- % � iX�C� `_�}�'i- <br />NOT[: INIRING IN NON-DWELLINGS IS REG�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31U5 <br />1 hereby certily thaf 1 have read an <br />correcL All provisions o(laws and <br />whetherspeci6edhereinornoL T <br />violate or canc•�l fhe provisions o! <br />performance o/ construction. Thul <br />�vork lor �vhich appliyflfion is ma�e <br />296.200 WAC. . , . <br />Cily <br />City <br />Statel7ip <br />Sla(e2ip <br />Cunlra:l Price of Work <br />:onlact Pcrson (Plan Review) <br />this application and know the same ro be fruo and <br />goveming tlus type o/ �vork �vill be comp/eted <br />�l a porrnd does not presume to give authenty fo <br />rte or /ucal la�v regu/ating consVuction or the <br />ized by the owner o/ fhis property fo perfomi fhe <br />'y wi(h fhe Stafo Confraotors La�v 18.27 RCW and <br />�/'7�08 <br />FEE <br />Phone <br />Phone <br />j; tY3o7 -I �l % <br />