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��:•���-2-20��3 i l:'.1A FF�rit9:SMNRT HOf�tES ELECTRIC 12S`�99�28:; Tn: 1-i�52`T2��57 F�. 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 5' _ a --D g <br /> 425-257-8010 - FAX 425-257-0857-www.everettwa.org �O g� 5-Oa� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 5 I I 5 �( ��,W br� , <br /> PROJECT AD�RESS <br /> �au1 Sr�naY��� �I1�ti�e.w �D2 . 111��i�C 1��-Iqr��D� <br /> Ownor tdeil Atldreas C�ty State?Jo Pnona <br /> Tonant Mall Addrecc Clry Slate2ip Pho�e <br /> ����.����.n�FI-�r-latc,r c, QD.C��_��,IDI ' L/�IVGiYr IUR, �IB�9l� f���(L3 <br /> Eloctrical Contracror Meil Atltlress C�ty Sta e7Z�p Phone <br /> Sm�-�-ri-I-���8 n� �' �L� + �t �' <br /> Stale license Numbor Contratl Price of Work <br /> ho,m�e, �m,3�-r�lccl�rr�'I�I (��233�-3299 <br /> Proposetl Use of Ouilding Contad Person (Plan Review) <br /> Ooscription ol Work to Bo Done: �r,�'N.`` G �.U� �(,�� <br /> NOT[: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI1Y OF EVERETT LOCAL SALES T�.X CODE IS 3106 <br /> C � `�v� -C�L�) <br /> I horo6y corfi/y fhat!havo road and ernminod Lhis opplicalion and know tha same to be trt�e end <br /> cor�oc;. Ail provisions o/laws antl ordinances gocemmg this type o(work will bo complet6d � I��C , BC <br /> w��othar spoafiod horoin or noL Tho�ranling ol a parmd doos nol presume fo give eufhonry fo a,�„` <br /> violafe or cnn ho provislons o!any othor stete or local law regula7mp consfroGion or fhe � <br /> podomtonco 1 onstrucfion. Th I am outhonzotl by fho owner o/fh�s p�oparty fo peAorm tho �t��`�J,�_ <br /> �sork lor w c �pplicatico Is me and I omply with 7he SlafO Confrac(ors Law 78.27 RCW end � C <br /> 296:00 A . <br /> �� a �� ' <br /> Slpna!urc Dele <br /> I <br />