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ELECTRIC.AL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�o�b N►�Ho�s <br />PROJECT ADDRESS <br />�L. <br />3 _09 --r 2. <br />�120`�'�+5� <br />�Av�� C7ubbel s vr016 1�l�-N� PL E�rrtf� Ww 98a� yL� 8�o-6Eo� <br />Owner Mail Address Ciry Stale2lp Phone <br />Tenant Mail Address Cily State/Zip Phone <br />LIE�EI �/ �l�EGY2iL <br />�.+..�.� yyi� irRlkND ?}/E. E�JE�ETT' w,¢ 9�d�3 y25��10-�00 <br />Electrical ConUaclor Man Address <br />L�EwEF� i 190w _ <br />Stale License Number <br />Proposed Use of Buflding <br />City <br />State2ip <br />$ 592,iSt <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Description af Work l0 8a Dono: <br />SNSrA�-�— S�.rBE {�,¢orEt�{on� L�EVic�. FFr1 6xisrp.�--• <br />- �r�,- P �-.� � ` -- <br />NOTE: 1NIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />y certify thaf 1 have reod and examined lliis application and know tha same to 6e frue and <br />All provisions ollaws and ordinances goveming this rype of work wi116e complefed <br />r speci(ed herein or noL The granting of a penod does not presurr.e fo give authonty to <br />or cancel tlte provisions o( any ofher state or local law regulating construction or tha <br />�ance o� construction. That I am aufhorized by the o�mer of fhis property fo perform the <br />.,.,ti;�i, �.,.,r,�A�r�„ ;� r,,,,da and 1 comvlv wifh tho Stafe Confrsc(ors Law 18.27 RCW and <br />FEE <br />U -�'3_ os�l <br />