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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET'� PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�707 �aAQfl�'�o�v ��l <br />PROJECT ADDRESS <br />OWner Mail Addmss <br />Tenant <br />'/� /Nc. <br />A9ail Address <br />City <br />, 707 /�KDQSoM /�ic� , <br />City <br />Statel�:;+ Phon� <br />yu- �'t 3 - as» <br />Phone <br />�%�C`'/�� � �anr /�� �f�c'lr /LS 8 �tr uL � Lteo c,Jf� �'1 %"l.�s ��1vJ•� <br />Eleclrical Conlraclor A1ail Address Cily Slale/Zip Phone <br />�/t..,t�z��C JG - <br />Slate License Number <br />�X2�JdwetlY� ryi � N v-Fi1-C i 6 R/Na <br />Proposed Use oi 8uilding <br />�S2 .9(07. � � <br />Contracl Price o( Work <br />��h, � QAs <br />Con�act Person (Plan Review) <br />Description o( Work lo f�e Done: lnS'� `/ ��w v�L�9-f �'�'� ���'/��' - <br />18o d��,� � <br />NOT[: WIRING IN NON-DWEL;.INC•S IS REQUIRED TO <br />BE IN RACEWAYS, MC CR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceAi/v thaf 1 have read nnd exarnined (his ap�lication and know fhe same to be frue and <br />correct. All prc✓isions c.` laws and or�inances qovemmg this type o/ uork will be cornplefed <br />wheYhe� ^peaGed herein or noL The gr'anting of a pernut does not resume to give acihonty fo <br />viol��te er cancel the rovisions of any oflierstate or local law reguPting constniction cr the <br />pe�fomiance o(cons�uction. That 1 am author.'zed b}� the o�aner �/ this properfy to pe.�loirn fhe <br />�rork (or �.vtycli applicaticn is made and 1 canpty �vith fhe Jlate Contracfors La�v 18.27 RCIN and <br />r-eE <br />l 05 c� <br />E� 13C�� - p(�2 <br />