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Nov 13110G35p WiieNutzEleclric 360-258-0516 p.4 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVER[TT,WA 98201 <br /> 425•257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � IS E C'GSin� '�d <br /> PROJECT ADDRESS <br /> OY.ner tAaiAddress Cip• Slare2ip Phom <br /> I <br /> '1- Eleve� -- <br /> Tenant �daiAddrees c�p• Sea•.e2�y Phorc <br /> 2 -IYiutl vice-S 13�Z3 � Hwu 99 �Sf:��1-(8� Zb4 U_Qn _WA bS'�, <br /> EIeQr.wlC:onlractoi `Aalindarns C�y S�a�,e/2P `3�� �gp����U <br /> � U•I � <br /> �'t1ZF N NF_ QAZ'T� $S50 <br /> Slate Lla:nee Numbe• Contrac Price ot Work <br /> VroD�� Use of Bulltling Conta^Person (Plan ReNew) <br /> Descripii., or work ro 0e uone �� nn P �.l1�GU i�" 'fD _ _ {/�Q�/Q. 2 T V <br /> Y'e[.t.tr�iC �.PS h2�oW_C?d/+K��Q <br /> NOTE WIRIhG IN NON•D'JVELLINGS IS RE�UIR�O TO FEE <br /> D[ IN RACEWAYS, A1C OR AC CABLE. <br /> CITY OF EVERETT LOGAL 5ALES TAX CODE IS J106 � - - - <br /> II hereby cenny Iliaf I have read ar.0 examined Lhrs eppi!ca��qn end hno�.�;he sar,e ic tr f�ue arrd <br /> co�rect AN pmv�s,ons ol larvs and o.^.iaaarress govem�n9 L��s type e�wortr wi�'be complercd ��� - �,� ' <br /> �chetAer spociketl hem�n a r,�t 7he grarfrry o�a Fwrnrf does ncf oresuire u grve eufha�ry to <br /> � �^'Nsfe er cancel p�ep r�v�s�ons o/ary o:bor siax or icwl law mgulating crosU�cGon a•fhe <br /> � peifomia���n o!const�✓d�a�. 7hat I am aolhonzad by Inr �wner cl fh'sP�opei!y to OOAOmt fY.e <br /> ��•wA fo��sn.c.'. .�n%iic�hoq is made end 1[ump'y�nv7h Dre Siafe Contrac.Jrs Law 7&27 RCW en0 <br /> 7D6 2001h'4Q � <br /> �.gl,,�. �.s�- ► ► 1�331,�— � <br /> . S�ynawre �� <br />