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4252930:93 ( �0:44:04a.m. 12-17-I010 1 �1 <br /> \ � <br /> ELEC:TRI�AL PERMIT APPLICATION <br /> CITY OF E�/ERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAXA25-257-8857-wwav.everettwa.org /2-17-/� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (r I��Z`-�'l <br /> �c�►q <br /> � <br /> i-i-�T -� ��;�','c I 1�Y. <br /> PROJECT ADDRESS <br /> -n ��5�a�f�l S- <br /> �Yu���.i-�,� .�,� I��o ,�r.� �'z-e I�b� t�,o��-t ; l�� L.ie,zs`r' L.�.JA ��6�Z� ( <br /> Owner Mail Adamss city SIa1MZip phone <br /> � �ti�1 L. � <br /> Tenant Mail Atldrcss Ci�y Slale/Zip Pnone <br /> :y�' C5�t�o�S1�. '�j7R0 <br /> (=�� � �(Yl «,�� yG��l o C'�.,�a��p� '°-' i�1��,�ttT> C���a75 <br /> EIeCMWIConlr�ctOf MailAOtlress City Slalc2ip Pho� <br /> (;n�� s (`n � 4���i3 1 �024 ,Qdl�- <br /> State Lice�sa Number Contract Price of Work <br /> �JF_'��.�c `vl.�v — ��f�ftJPl� t v 1�F �)C:'`Jt P � L Ji�eJrezE <br /> Proposed Use of Builtling Conlact Person (Pla Review) <br /> DescriplionofWorktoDcDono: �/J�.T�L� SQC 2,�� V�1c ec- �y_I ���h�,n.� <br /> � `--1 <br /> �{-5.�6-_l_� �i�c� ' C'l � V \� ' ' c v�-�J 3,cn-�S 1- <br /> ._,��@c� .DC� S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I heroby ce�7dy fhaf 1 have read and examined fhis applica(ion an0 know rhe sanre fo be Irvo and �I �� � _ I� l <br /> carect. All provisions o/faws and ordinancos goveming fhis type ol work will Ge compleled <br /> whelher specified horein o�noL The granfing ol a permif tloes nof preswne to give au(honty to <br /> vio/afe or cancel(he provisions o/any olher stale or local law regulafing construction or tha <br /> peAormance oI corrstrucLon. That 1 am aafhorized by fhe owner o/fhis property lo perfomr tha <br /> H�ork Ior�rluch application is mado antll compty wi(h the Sfale Confraclors Law 78.27 RCW and <br /> 29d200 61�C. <br /> � n � � '2 � !7 f�OI^� <br /> - �.� �.� w � 117 �'�7(_'"Yll-�lwn_:� r <br /> SignaWro � Ua � <br />