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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, %`VA 98201 G _ 3 I —0 % <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org O -7 U 9 if 37 <br />APPLICATIONS ARE ACCEPTED FROM 3 AM TO 4 PM <br />3g09 TALI t r <br />PROJECT ADDRESS <br />Our Uvib CS a l- L�ld -.le bin <br />Owner Merl Address <br />_ Alp <br />- A City 1■ter7lp php� <br />�anant�1) T Y�! ili� M■0 AdAro a Cly 3t■Is21p jPh""*tS <br />Eln6. <br />dncal Contregor MOM Address CM 9l■M21pt� <br />State Cicenso Number Conhact Price of Work <br />t eee 1 <br />repo Ute of Duel mfl — <br />�r Contact Person (Plan Review) <br />D09Cfiptinn of Work t0 De Done'U��j , <br />t—`�-r-Q- • `- Jj--�- �■-� SSr <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO F{E <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />t horeby cerirly that t have read and oaamined this application and know the same to be true and EG"loa - l3� <br />corroct All provisions of laws and ordrnancos govemrng this type of work will De completed <br />whother specified homin or not The granting of a permit does not p resume to give authority to <br />violate or cancol thin provisions of any other state or locnl law regulating construction or the <br />performanro ofconslruction. That lam authonrad by the owner of this property to perform the <br />for which application is made and 1 comply with the State Contractors Low 18. 17 RCW and <br />9 DWA . <br />.I a Ile <br />a <br />Z0 39Vd i3V SAS 93S NCIQ'IVA9 BZ66TPE90ZT ST780 00ZITZ160 <br />