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ELEC�RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7'1', 1NA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTF_D �ROM 8 AM TO 4 PM <br />�. <br />�0,�( i/��✓,�' �l ' lcNV'cc �%f���� <br />PROJECT ADDRESS <br />��r�� �1� ���� f�� <br />Owner h1ail Address City <br />� j ��J ) <br />��� ���L�C' � �� � l�l�( .rJ r� �(��L <br />Tenanl � A1ail Address Cil� <br />--�� C� �1 �" �_ -- <br />[leclri!�,ilCoNraetor h1ollAddicss <br />Slate Licensu IJumber <br />Proposud Usc ol Buldlny <br />D��scription nl WotE lo Llc Unno- <br />r <br />NOTE l4�IRING IN tJON-DW[LLINGS IS R[QUIRED TO <br />[3E !N RAC6WAYS. A1C OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Cil; <br />,v�! J�� <br />State/Zip <br />Stale 7ip <br />Stal�nLp <br />Conlracl Price ol N'ork <br />��S <br />c�- y y <br />�s�2 <br />Phone <br />Phem, <br />--Phau�— <br />Conlacl Person (Plan Revicr�� <br />/ q /' /, <br />� /'GL/' �'�P�'j��/C���l <br />I hereby certily thaf 1 hare ro�d anAcxamined (his application rvnd knon' fhe sanie fo be frue ar�d <br />correcf. All prorisions o! laa�s and ordi.ionr.es ao, ernmy fhis fypo o( �t�ork �sill be comp/eled <br />whetlmr specified herein or noL The �rmituig ol a perrruf does not'�msume fo c�ii�e auUrority to <br />violafe or �ancel Ihe provisions ol an}� ofher sfafe or local la�t� rer�u afing consfrucfion or the <br />pr,rformance ol con�truction. Tl�af I am aufhorized by the o�sner o/ fhis praperty fo pedorm fhe <br />nnrk lar w0ich ap��lication is made ana 1 cornply �vifii the Stafe Confractors Lo�v 18.27 RCIN anA <br />296.200 AC. / <br />�'L�:�,- f�� ���% �� - -->/'- S - �� - <br />s��� �:,n���: ua�� <br />FEE <br />.�V`f I I . C�J'� <br />