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�';v. i. 2':���"16 2: 16FM �90. 0110 P. i <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SE�tVICES <br /> 3200CEDARSTREET, EVERETT, WA98201 ���� �`�b <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org C 061�_�puc' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� �P.L��S�r�, � <br /> PROJECT ADDI2ESS <br /> 1.�;�cnX ��1�.. �'3-�•.��0,._ ���,�Qmoct4a , C���. 9,� <br /> Ownef MailAddr25s City $IalelZip Phone <br /> Tenatlt Mail Address Clly Slato2ip Phone <br /> t���lo�}� �8 <br /> Electrical Conlractor Mail Address Cly SL�IeZp Phone <br /> ��;�o�ac��P �uac�l . C� <br /> Stato Lico se NumDer Contract Price o(Work <br /> C'sPXI D11C14 ���1(L09,�S <br /> Proposed Use of Buiiding Conlact Person (Plan Review) <br /> Descripllon of Work to Be Done: LOW ��� T��(L° L�I,U]U�Yn ��AJ� <br /> ' U <br /> � ���.t�nc�-'c�-rn�mue_ t�n n�Troj� �r, 1�,.C�, . <br /> v <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN f�ACEWAYS, MC OR AC CABLE. ,a1 I ��'� <br /> ��r <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> I horaby corlily Iha(1 hova rvad and examined this applJcetion and kno�v fhe same to be true and I_(�lF(� "��'�J <br /> correcl. All provisions o/laws anA oNinances povem�ng fhJs typo ol work will be completed <br /> u•hether specilled herein or noL The granting o(e permd does notp resume to Q'rve authority fo <br /> viol�te or cancel tha rovisions ol any other sfa(e or loca�law regu/ating cauVuction or fhe <br /> �ertormance o�consPnicfion. That I am authorized by the o�vner ol this propedy m peAo�m tho <br /> �vork for whrch application!s mede and f comply with fhe Sfafe Contrec(ors Lsw 1827 RCW and <br /> 296.2001M1'AC. <br /> .L�� �l- �'� <br /> Si na ure D31e <br /> I <br />