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ELECTRICAL PERMIT APPLIC�TIAN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTE� FROM 6 AM TO 4 PM <br /> 1 12 1 �-� o�t � Av � <br /> PROJECT ADDRESS <br /> 425 <br /> MA2T1N LAM6�ZT IIZ� N�yTAVt LVti.e-T� WA��i92�1 737-3oaCe <br /> Owner Mail Address Ciry State2ip P����e I <br /> c�MC AS AS�VE _ <br /> Tenant Mail Address Ciry Stole'Zio Phone <br /> �--�OMC O�r-1l�1�� __ _ <br /> Eleclfical Contraclor Mail Addres, City S�ate�Zip Phone <br /> State License Number Coniract Price of Work <br /> �p,2AC�E _ MACLTIN �-P,Mg�-2.T <br /> Proposed Use of Buildmg Contact Person (Plan Review) <br /> IDescription of Work to Be DonE. �!�S Tr4 L L �'-'�-�C PAN E L � W 121 N G � L l �H'i^S� <br /> SW\TCH -S �ov"T"�-�=T^� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R,4CEWAYS, MC OR AC CABLE. ��- <br /> . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that/have read and examined fhis applicafion and know the same to be tnie and ��� �� <br /> co�recL All provisions o/laws and ordinances 9overning fhis type ol work will be compleled . / <br /> whether speciGed herein or noL Tha granfinq ol a permd does not presume to give aufhonty�o � <br /> violafe or cancel fhe provisions oI any cther sfate or local/aw reyulafing consfruction or the <br /> perlormance o/consVuction. That 1 am authorized by lhe owner ol this property fo perform the <br /> �:ork lor which applica(ion is made and 1 comply with fhe Stafe Confracfors Law ff327 RCW and <br /> 296.200 WAC. — � <br /> %" -' � - ";�-� ,�/%>���, L (�;�� � <br /> �:� � , <br /> _ ` Si9naWrc Da(e <br />