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ELECTRICAL PERMIT APPLICATION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425257-5810 - FAX425-257-SS57—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTEG FROM 8 AM TO 4 PM -DEBIT b CREDIT CARQS p.RE NOT ACCEPT�D <br /> "L�t� ��a-f v�e�� �2� �- i� �18ZG� <br /> PROJECT ADDRE35 <br /> C�'l�o(/AGG.i� L�t�( 11-.r�,�tv�.�v {?c�' Fvar-es(�(" UVk q�G'3 �fZS• '�(� �,-F�,r/ <br /> OWner MeilAddress City $ta(e2ip pypne <br /> SGt vVw <br /> Tenar�t MailAddress City StatML'p Phoro <br /> �,��V1 P�)��-f�V�'[ 1�Ic n�Z lvl{ur�aN L 1-i2.�,Sv�a v�t �(�'�I G �fzS ��l 7 a"io�i <br /> Electrical Conhsda Meil Address City S�a�elZip Phone <br /> ��-W 11���1 t�� f;f� � 2,O�i?•a� <br /> State Uce�se NumDer Conhact Price of Work <br /> �2Q51 G1,el�fi I E'l,� �I ��. �fLS. �d.�l�-{SJ <br /> Proposed Use of Building Con Person (Pian Reviev,� <br /> �ascriD6on of Work to Be Dnne: i�C��� W�� �� I�C�.I."� f.)G`�'�I./l S)��� �/�1i1 �{�.��,� <br /> �EI-��i�cP `I�,�,� ���"�z �(ac�� rnhc( � � ��,r.u � �I-��r-c;�a�� f� <br /> -l"f�,e I'y,si-it( f mt1 ��_t�(LGf`� �(��C� ������• <br /> NOTE: VNRING IN NON-DWELIINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EV�RETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceriAy thal I have read arrd examined this application and know the same to 6e fnie and <br /> cnrmct. A!!proNslars afl�ws and ordinances goveming fhis type ot wak wiB be,r.ompleted <br /> wlxiN3er sper.ified herein or not. 7he gran6ng of a pemtd does not resame to grve authonry to <br /> vioi te a cance!Ure rovisions ol any other state or locaf law requPting conshvction or Ihe <br /> per�ormance ot cons�ructlon. Thaf 1 am authorrzed by the owner o!this property ro peAorm fhe <br /> wotic for which applicenon Is maJe and!cvmpty with the S7ate Contraclsrs Law J827 RCW and <br /> 29B.200 WAC. <br /> i 7 s�-��-" u'� <br /> � s�g ro oa�e <br /> �o7oR-DqQ <br />