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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-6810 - FAX 425257-8857—wrvw.evereriwa.org � ''a� 3-1� <br /> C-iDo9-�o� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /c�/9 PAc�hc �kvF <br /> PROJECT ADDRESS <br /> �lG1FT f0�� iUANfLI GEW� /OOJ' PAw/�c Au-' �ETTiwA PLoI <br /> Q�g� MailAddress Ciy StateRip Phone <br /> S R"ME <br /> TenaM Mail Address Ciry State/Zip Phone <br /> PrrfrrrodP.l�tilric y2'_l>?3�ndSlra�lS1V I:dntonds lVA,98020 206A99.6691 <br /> EleCtnCal Contrador Mail Address Ciry S�a�e2�P �0^e <br /> I'I:I[I�Ii1f192��P1. � CJ�� Od V <br /> State License Number Conhad Price of Work <br /> C�F�GE bUl LOI 1-SG <br /> Proposed Use of Building Contad Person (Plan Review) <br /> DesaiptionofWorktoBeDone: D�ST2I�JT�h�� ���- i L�L`M���+ . �TC- • — <br /> NOTE: WIRING IN NON-DWEILINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> i , Z b� . U� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y cert!ly thaf I have read and examined fhis application and know the same fo be frue and �� � (,�, J v 9 <br /> correcL All provisions o/laws and ordinances govemmg this type o!work will be canpleted - <br /> whether speci/ied herem or not Tbe granhng ol a permrf dces notp resume ro give authonty lo <br /> violate or cancel fbe rovisions ol any other state or Iceal law regulating constructron w the <br /> pertorm�nce o/c tion. That 1 am 2uthonzed 6y tbe owner ol fhis property to pedorm fhe <br /> work/or which app catr n is made and I comply with the State Contracl�rs Law 1827 RCW and <br /> 296200 WAC <br /> 9 �23 �� c� <br /> Si at Date <br /> E1DoS-ivo � - UNo�-c.izair� <br />