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ELE:CTRIC�L PERM111' APPLICATION <br />C:I�Y OF EVERETT PERM17 SERVICES <br />3200 CEDAR STREET, EVERE'TT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettv✓a.org <br />APPLICATIONS ARI= ACCEPTED FROM 8 AM TO 4 PM <br />_, ,� <br />� z `� �I , y �� ( /a v,- <br />PROJECT ADDRESS <br />r <br />��i�.� �,In Y)UC w' �AJ� ��'j <br />�{AR'3INDr�12 �7r�C,>9 �� ✓�: ({E�( 1 �I ����L/ ��izs �'➢`- �� <br />Owner Mail Address City State/Zip Phone <br />� ���25��3�7y_��. <br />� . � �/C; <br />l lc ��1�'�,.- i rL����, ���7t,��;� {lr.�/} �°����� ��t�f1z� �_� l�•-� i�7.��'�l <br />Tenanl Mail Address � Cily State/Zip Phone <br />-Z-'� �T tt�' !7f-R >�t•/ �,1� 111��.�q iyl�+��i�`� w tJ:���� �>�; k=�'k"R�T% `�'�� lz'�«� <br />Eleclrical Conlraclor Mail Address City State/Zip Phone <br />License �mmber <br />Use oi Building <br />Contract Frice o( Work <br />Contact Person (Plan Review) <br />Description o( Work �o de Done: 1 � l � � l � � � �. �G � ��,I� ��.- �- l )„ �j �� • � c �� �C•. < �� �� < < �_.' � i c r1 t- <br />� <br />1 -� �� �1' � i �, ,.� r.. �', . <br />NOTE: WIRING IN NGN-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEVJAYS, MC OF AC CABLE. .— �-- <br />`) . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily fhaf I have read and examined this application and know fhe same fo be frue and <br />correcL All provisions ollaws and ordinances govermng this fype o/ work will be completed <br />�vheUierspeci6ed herein ornoL The g�anting o/a pernut doe; not presume to give� airthont}� fu <br />viola(e or cancel fhe provisions olan}� olher sfate orlocalla�v regulatir�g consfrucfion or the <br />performance ol construcfion. That 1 am authonzed by the owner o/ this property to perfomi the <br />�vork lor �vhich applir,atinn is made and 1 comply �vifh the Stafe Con(racfors La�v 18 27 RCl4' and <br />236.200 INAC. <br />��� �� Ic� i� %; <br />� <br />r/, ,/ /�'i; — �� �j,-,i <br />