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Oct 28 04 02: 23p P� 1 <br /> � � y_ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—wuvw.evereriwa.org <br /> APPLICAiIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT b CREDIT CARDS ARE NOT ACCEPTED <br /> �yly n1aP�./. sr <br /> PROJECT ADDRFSS ��'s <br /> .Z 30 <br /> t;ish c.1�r�rk+�►t, 7lyty n���,: ri �u�'c�r/' �.4 9P�a/ y�y <br /> arme� rau nae�eas c�b smuzp a�,a,. <br /> TenaM Mail Addrcss Clly SbINDD Phone <br /> �rwtiva��- sa S 340� ��Yr�su �uE�r- w� Y��o� <br /> Ebctrkai Contrector Mall Adtlras� Ciry 51ab19P Rrons <br /> �YMN SS /Y2 I�!' <br /> SWte Licenss Number Contrect Price of Work <br /> P�o�Use of Bullding Cantact Person (Plan Review) <br /> DescriptionofWorktoBeDone: /v�L� �� �'�/� P/���.._�M1 CC ��"��� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. ['� ed <br /> a� � <br /> CITY OF EVEREiT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that!have read and examined this epplicatlon end know fhe same to be true ard <br /> coaec�. AIf provislons ollaws and ordinences goveming Mis rype a/woAc will be campleted <br /> whefherspecified herein or rtot. The 9ranUng of a permd does notpresume ro give eut�ority ro <br /> vidafe or cencel the provisians ol eny other state orloce!!aw regulating corsWMion orthe <br /> parformance o/conswct�on. ?hat!em authorized.by flie owner of this prope+ty to Perlorm the <br /> work/or which epplicetlon is made and 1 comply w+m the Stete Contractors Lew 1H.27 RCW and <br /> 296.200 WA � . <br /> �O � o <br /> Signature � <br /> • (i—I /� l�' <br /> I <br />