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111i21/1937 Ci2:39 <br />2'��1(,�t5 <br />425-826-5�53 <br />THE KOES01� CO <br />ELECTRIGAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-6810 - FAX 425-257-8857 — www.everett�va.org <br />APPL�CA?IONS ARE ACCEPTED Ft20M 6 AM TO 4 PM <br />�3q2.q �f r'� �c. S�. <br />PROJ[CT ADDRESS <br />Owner <br />Te�anl <br />1T�= o� IZ,�A,� �rcNu 3��y `71::1`{' <br />iaa�i Aaa�—�— crty <br />�`� � CU 2(L N`L <br />1.73i1 Ad ress Ci�y <br />��1� f�-,--_�fo2M yOc�N �2_ <br />Eioctrical ContraClor Il.ail Address <br />ti(al� Lic nse�Number � <br />Propoeetl Uso ol 6uildmg <br />City <br />Ste�B2ip <br />PAGE 01 <br />4Y1 • 4� <br />'��.' <br />Phn�'_ 1 <br />Ph �ne <br />Ste�e2ip Phone <br />NIg <br />Contract Price of Work <br />Co�tact Person (Plan Review) <br />DescriplionotWorkroBeDone �NS� �LL.. t��CF=CS � tQU_ l�r�ME(�1(� �''��y4�V 17" <br />RN� �«,Nc� �D �t-locArt A ��siaFtilTiA.� M�r�� <br />NOTE� W�RING IN NON-DWELLINGS IS REOUIRED TO <br />BE IN RACGW�YS. MC OR AC CA6LE. <br />CITY OF EVERETT LOCAL SAIES TA% COD[ IS J105 <br />1 havo r�ad antl exemmed thi: appl�cahon and know the same to be trve and <br />ns ollaws anr/ ord�nances geverntn,7 th�s fype of �t�ork �•�ill be complefed <br />srsm or nof hP ��antij�g u a Fcmrrf uoes rrotp resume fo give authonty to <br />� prov:sro i any far st .e ur local lav.� regolaf/ng coqstruction or the <br />structro .�i hal I�aulryo rzed by fhe owner of fh/s property fo peAorm the <br />catron s madQ a d I Gbm Jy irl(b tha Sta:e Contrettors Law 18�27 RCW and <br />F E <br />��s � � <br />.� <br />L� U"]C,� - � 23 <br />