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DEC-21-2099 20:57 From: / To:2578857 Paee:l'i <br /> V ` <br /> � ELECTRIC\AL PERMIT APPLICATION <br /> . !CITY OF EVERETT PERMIT SERVICES <br /> �� 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 'Y� 425-257•a810 - FAX 425-257-8857–www.everetlwa.org C �'� � <br /> ' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 7/� (�2Q + 'b�Q.� <br /> PROJECT ADDRESS <br /> �"-� — <br /> Otvner lddll Addiess Cily SIBM_/Lp Phone <br /> ���cr���"�.�C�?�' Sam� <br /> Tenanl Mail nddress C��y S�aiedlp fh00E <br /> �o��ro� G�ic. ��� 1 a����rn,ic� -�Pr�P� w� �K?al �� - h55 <br /> Eloclrical Contrac(or Maii�ddress CIIy StataZip Pno�c <br /> So�uz i P �c�'��D7 � _ <br /> Slale License Number Conlract Price ol\Vork <br /> ��f�or�'r�A �-r� �I'l�P_� i\Qn SY�-�� <br /> Propo;od Use nf 6uit ' g � Contact Person (Pian Roviow) <br /> Uascriplion ef Work to Be pono: �,�j�1,J V� I ' dCl� �'—`"� 5�U� L, _ <br /> d'�_ , i <br /> �� <br /> — / CDyI�'6I _ I __ ��P.UrL{'�S� <br /> NOTE: WIRING IN NON•DWGLLINGS IS REQUIRED 70 FEE <br /> B[ IN R4C�wAYS, A1C OR AC CA[3LE. <br /> CITY OF EVERC-TT�OCAL SALES TAX CODE IS 3105 <br /> i NereGy ccrLly Ihat I ha�r rca0�nd ea�amined fhls applicafion anJ Anow tlrv samo to Ge true ond <br /> correcL r.11 prnvisions ol luws an�i ordinences poverronp this type o��vork�riU be cornpleted <br /> �vhothor sfenhCd hyfohi or neL The gronling O!a pemut does nOf Piosume fo givC puihonty to <br /> violafe or cnncef�h�pre�dsions o!any otlier stale or local law reguloting construcflon or tho <br /> pmlerman2r of cons(ruction. Thot!,m aufherizeJ b��fhc�owner e);his pmpeRy to pe�?arm(ho <br /> werk ler ulrlch�pplic�t�on is mado and I cnmply aifh fhe 5fafe Confracfors Lnw i827 RCL4'antl <br /> zss.z �tnc. �� <br /> ��/� —/ � 7 <br /> C '� , �Q�„e�° i z zz oy <br /> .,iynucure oare <br /> ��a(.,t�Q C.cc.2 Q �j Z-S 1~7 1 'a�r�-!.� ��1Q��'L�/-�" w�,~�J.X , <br /> ���� , <br />