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�e'.. 3. 2412 3 ?cPl�l �i0. U��J �. l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI�CES <br /> 3200 CEDAR STREET, [VERETT, WA 98201 <br /> 425-257-8810 - FAX a25-257-8857 -�wnv.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM1i �7 —�I`� Z <br /> L / `/ Z �-G� <br /> �Ca z (Zoc,�e.le..�I e.+'' �t B 2.0I <br /> PROJECT ADDRESS <br /> c,hU,uvlGt o�N o,,r�, �25 `�22 lPS��O <br /> Owner tAaill�.ddrecs Cdy SletrJZlp Pr,one <br /> iennnt IAeii Atldross Ci,y Sla!JL�p Fnonc <br /> , �_�� 14i5 grr�d�av �ve� wA q��i �t25 25q c�l��� <br /> Elecirl[nl ColtraGo� IdBll Addresa GIy SIutC1Lp Phonc <br /> �� s <br /> ('IYI�EAM N�101 C��( <br /> State Lic�nsa Number ConlraM Pnco o�Work I <br /> � <br /> Propcsed Usc ot Building f.ontact Par�on (Plan Reviow) <br /> Dos�iptinn ol Work to Oo �onc• In a .I I I 1 IU �' ` ��'^�_.� � <br /> � \Z� Z �— O� l <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC C�13LE. <br /> �O � <br /> CITY OF EVERETT LOCAL SALES TAX CODE 19 3105 — <br /> 1 horeAy certih•U�af!hovo iead and nxaminod fh,is epplicaUon antl know 77,o serno to bo tn�o end <br /> conecf. A!1 pruvlslons ollaws ontl orrlinances govominy this(ypo ol wo�k wdl pe cornpleMd <br /> whofhor speu6ed horsin o�nof. Tho,y�anh'ng cl n pormd dnes nof Arusumo fo qivu uuthori(y lo <br /> vio�a(e or cancol fne prnv%slons o!any othe�stafe or local law rupulo�lny consfruclrnn or fhe <br /> perfonnance of conslruchr�n. Thnf 1 xm aufhodzod by lhv onnor o/fhis propaty to puAonn th� <br /> �vaN!a x•hich oppqcahon is mudo and 1 tomply w�N the Sfale Confraclors Law 19.2%RCW dnd <br /> 286.20o LVaC. <br /> � <br /> J� - _��-- <br /> S pnulure Oetc <br />