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/ <br /> ELECTRICAL PERMIT APPLICA�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � � _�g -/v <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �/�/Z `/�� <br /> r0 Z O � C� ✓l t W !j✓� y t Vc/( �� l.v/I �'�.Zo� <br /> PROJECT ADDRESS <br /> T�/"� 1,0 � �-�f O �� / /�VrJij ��>�v'�GI.1�LE ,IVNij �� v� �.4//� /OOOy � <br /> Owner Mail AdAross City State2ip Phone <br /> Tenanl Mail Address Cily Stale/Zip Phone <br /> N//NScN f�Gf�iqi� Sri� �/ll0 22ND s% .Sc LAII� STF�e�l %,.,, 9d°ZSY <br /> EleclriCal COnUaclor Mail Address City State/Zip Phone <br /> N/INScc7 o/z p� 13 0:� . o .> <br /> Stale License Number Contrad Prico of Work <br /> _s�N�<<_ FAM��r 11��� �f/1N1EN .zo/r j�9-�dYP <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descnpliun of Work lo Oo Done: ����-'� '� �"X�S T/'�` 2°a fJ/N� P�r EL - (,�,�7> v�p <br /> Stil, V/cG <br /> NOTL: WIRING IN NON-DWELLINGS IS REl1UII�ED TO FEE <br /> BE W RACEWAYS, MC OR AC CA{,LE. <br /> CITY OF[VERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily thnf I hare read and examineA(his applicafion mid know(he same fo be true and <br /> corroct. All provisions ollau�s and orAinances goveming this fypo of�rork will bo cornpleted <br /> whelher specilieAhen:in or neL Th�granting ol a perrnd does nofl�resumo to give aufhonty fo <br /> violale or cancel fhe vovisions ol any oflrer state or ler,allan�regu afing consWcfion oi thn <br /> perfomiance ol cons�rucfion. lhaf I am nutho�ized Uy th�owner o/Ihis property fo perlorm the <br /> work lor�vhich applicafion is m�ade:�nd!comply ivilh the Sfate Conlrac(ors Law 18.27 RCW and <br /> 29G.Z00 WAG. <br /> � /� <br /> �� �� � �1�19��" ��D <br /> � Si��� � Oat /��� —� <br /> / <br />