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�— --- <br /> i ELECTRICAL PERMIT APPL�GATiO�! <br /> CITY OF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-88�0 - FAX 425-257-8857 —www.everetriva.org <br /> APPLICATIONS ARE ACCEP i ED PROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> I <br /> :� :5 / 1 �1� 0A1 �iL <br /> PROJECT ADD�ESS �S � I <br /> Y <br /> �'�.� �� / <br /> �t��,, � N�Ki�t% "�5;4 k �.'C� :ir��r�l- ��% 1� �/ y <br /> Owner <br /> PAail Address City SlatelLip Phone <br /> Cit Slale2ip hone <br /> Tenant tdail Address Y �?_ <br /> 2S� <br /> � F�Y��ti!/�,�� ��FS .�-�in/ h!i :l�ti frU _ �� s 9J.�r ;� i�i_ <br /> Electriaal Contr2ctor <br /> Maii Address C,ity StalelZip Phone <br /> � fz��c���irr� y� cN <br /> State License Nurnber Conlract Price o(Vebrk <br /> Sr �` Conlact Person (Plan Review) <br /> Proposed Use of Building <br /> i Description of Work to Be Done: K�Z��L���',� '��'G "�t�P /��/`/� L — <br /> i -- <br /> NOTE: WIRWG iN NON-DWELLINGS IS RFQUIRED TO FEE <br /> BE IN RACE�•VAYS, MC OR AC CABLE. �� ���— <br /> CITY OF EVERE'R LOCAL SALES TAX CODE IS 3105 <br /> !hereby ceRify that I have read and examined this application and know tAe same to be true and <br /> r.crrecf. All piovisions ef laws and ordinances governing this type o/werk will be comole!ed <br /> .vheiher specdied herein or ncL The granting oi a permd does notp resume fo give authonty to <br /> �eAorma ce o(cons�c!ion.n rhat 1 am aulhonzed by the'owne9e(th s p openy fc perforhm the �I <br /> P ork fer�.vhich applicaLon is made and 1 compiy wdh the Sfate Contrac!ors Law 18.27 RCW and <br /> P96200 WACf I <br /> , / <br /> � <br /> �, �y;�,'/�-- �i��- _ �I <br /> --,,,: , -----�`��. <br /> Eo�o3-os� i <br /> ,I <br />