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f9iiY-10-�GOn 09:5'� FFOPI:FEFI9IT -i=�77�5�15 T0: 14r525�c'?57 P. 1 <br /> ELECTRICAL PE�MIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wnvw.everettv+a.ory <br /> APPLICATIONS ARE ACCEPTED Fr�OM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> � �'' b / �� � 1�-e- <br /> PROJECTADDRESS �Z� — <br /> �l,l��2 ��t��a rcl �b / �� ���-e ���Gf/� c'I�Zr1 / 3 3 ���� <br /> Owner MallAddress Cily SWte.'Zlp Fhono <br /> Tenant hlail Addiess Cily Sl.ile/Zlp Phonc <br /> �,(l��.����.� �-,�t/ Z��b��-rc�,;l� l.�P����� �1�9 2�'0 �z��� <br /> EIeU�ical Contrador h1�il Address Ci�y S�ale/Zip Pliono <br /> l,��JK��.I�1 ��o O 7ce , - <br /> S�ale Licenso Numbor Contracl Price of Work <br /> ,I � YC.� �LG �(�f't( !/a��,Q,l�' <br /> Proposod Uso of Bullding Contact orson (Plan Roviow) <br /> Description ot Wark lo Be Done: <br /> _ Q�dv l� l 3 ��u /zc,,d C /rC c� r f �n-- �s� <br /> �v�,o <br /> NO i F: WIRING IN NON-UWELLINGS IS REQUIRED TO FEE <br /> 8E IN RPCEb:'AYS, MC OR AC CADLB. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily thaf I have read and examinrd Ihis applicafion and know 1ho samv fo Ue(iuo and <br /> conoct. All proNsians o/laws ano ordinancr.s novemmr�tlris fype Nwork wlll bo complofeJ <br /> whefher specilied herein ornoG The 9ranting c7a permd daos not presume to�ivo authorify lo <br /> violafQ nr concal fho provisions of eny oflrer stata or locnl Inw reyulnfing consWefion or fl�o <br /> pedormance olconsfiucticn. That 1 arn aulhorized by the ownor o/this property(o perfo�m the <br /> work/orwhich opplicafien is mede end 1 comply wi!h fhe Stalo Confrncfcrs Law f0.27 RCW and <br /> 296200 WAC. <br /> � �/����� <br /> I —f��.pnawre Uatc ,- � <br /> U � U�1 � <br /> 1-U � <br /> I <br />