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08/OS/2�11 12: 18 2537520565 LUh1ENKRAFT PAGE �1/91 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR �TREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425•257-8857 —www•everehwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Z _ . (��� �G?�l <br /> PROJ[CT ADDRESS <br /> J �- - s - � <br /> � Mail A�� '�'e55 Cily SYale�zip Phone <br /> pwner <br /> Tenant <br /> Mail Address City Slate2ip Phone <br /> LJM I FtAfT CLQ.-rrz,�� �1813 SllTN - rM �� WA `18�1(a <br /> MnilAddm�s Cily StatelZip �V� 2 .��G <br /> Etectrica�Cuntreclot o <br /> ,1.s1 r��-n,�t �c�U C�� 2�23 i Z � ��� <br /> State Licenso Number Conlract Price of Work <br /> � <br /> � ,;-� ��-, <br /> Proposed Use o(Building Conlact Person (Plan Reviewl <br /> Desciiplion of Work lo Be Done: UP Z • vl � �� C . � <br /> �-t n�l� � - - 0� nl�'`Q_ P .=�c'�M � � � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS 3105 <br /> I hea by certiry that I have�ead and examinod this applicafion and Anow fhe same to be tr�e and <br /> cormcL All provisions u/fa�vs and ordinances govemmg this type ot�vork�rill bo completed <br /> whefher specifiod huroin or not. 76e�ranfing oI a penmf du�s not resume ro givy authonty to <br /> violnte or canccl fhc provisions el any other state or local la�v rcyuPatuiy construchon or 18e <br /> podamance o/consf�tro(io�. fiat f;lrn t7ufho�zBd by fllC otvnerol this property(o peAonn fhe <br /> �vurk lor vhicb plica6on ' de and 1 cotnply wifh the Sf:N� Contr.�ctors Low 18.27 RCbI�and <br /> 296.2 �AC. <br /> � � z" ( I <br /> Si ure Date <br /> r l (0�-4f� <br />