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05/06/2021 0B:19 4256702442 CITILIGHTS ELECTRIC PAGE 01/01 <br /> ( <br /> EL[_CTRICAL PERM17 APPLICATION <br /> C:ITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ��25-257-8810 - FAX 425-257-8857—www.everet'wa.org '�, — �— �.1 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �__ � ' .7.�!D v <br /> .���-�-'�`� <br /> PR�ECTOAD RESS ��l � � <br /> � Qn� �o � --y�'t �'� �a <br /> ��� — `j►���-�L 50� ��� -� �-I� 1�-h�e <br /> �s� Meil Atldress Cly State2lp <br /> Tenant Mailqddrees Gity SlalelZip prya� <br /> S � d��JV 1 ��� <br /> Electfical C011h8Ctof Mail Mdra[e �i�y ��C g� �p � ��O�O <br /> In n <br /> C' rh l���l�o�� �nn� <br /> State License Number CanVact Price of Work <br /> Proposed Use of Builtling Confect Person (Plan Review) <br /> Description ot Work to Be Done: ��_�/_ T1 �r ���( � J <br /> NOT[: WIRING IN NON-DWI:LLINGS IS RE�UIRED 70 FEE <br /> BE IN RACEWAYS, NC OR AC CABLE. <br /> CITY OF EYERETT LOCAL SALI:S TNI CODE IS�105 <br /> I hereby ceRily thaf I havo rnad a��d examine0 thls epplicetion and know fhe seme to DB hue and <br /> cwrect. AAprovfsions ollaK�s an�'oro'ineness govemrng th7s rype ol work will De wmplete0 <br /> whether spea(red hereln or not. 7he grantinA of a pertnrt doas notp resume fo g/ve euthairy ro <br /> violato or cnncn/the prov�sions ol eny other slate ar local law reguleting r.onswction or the 'l <br /> peifortrrance of construcS'on. The'1 am aufhonzed by the owner o1 tyis Pmperty to peAomi fhe j� �L <br /> work ror u�hlch sppl�afion 7�madr and 1 compty wifh fba Sfate Gcntracl�rs Law t827 RCW and (� <br /> 296200WAC. � ��, //�-�' <br /> ' `' ��L /{ \i\1 �l�l < < <br /> Slgnat�(\N\ 'C��J oate <br /> \` <br /> `��ea� c��� c�� L - r.�as �� a�l�� <br />