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iELECTRIC�4.L PERNlIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���Z C��u�d /�v�. . <br /> PROJECT ADDRESS I <br /> fl��M_\`�l\uY V �� ,� \`�u�Y�1v� �vO�R.x \ ��I ZFi 1 3��i - 31-I�i�" <br /> OWner Mail Address City State/Zip Phone <br /> Tenant Mail Address Citp Slale/Zip Phone <br /> �Mc,la�V�� ��e.i��C�r � c, A, -sv,c. (uZ�,� �Z- U �G� <br /> EleClriC21 CoMfaClor �vtail Address Cily State/Zip Phone <br /> \��1��N EC.�3 NS <br /> Slale L�cense Number ` Contracl Price of Work <br /> Proposed Use of�uilding Contacl Person (Plan Review) <br /> Descripiion o(Work to �e Dnnc: Lv /�,� iV r W /i!=5 / (71=N j-j/} f� U ��Li-x <br /> 7 �i ��� <br /> NOT[: V�IRING IN NON�DWELLINGS i5 REc�UIRED TO FEE <br /> BE �N RACEWAYS, MC OR AC CABLE. � �, <br /> I ZU- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y fhat I have read and exarnined�his applicafion and know(he same to be tiue and �1��� - 1�O J <br /> coaect. All provisions o(laws and ordinances go��emmg this 1}�pe o/work will be comp;eted <br /> whether speci6ed herein or noL The granting ol a ponnd does nof presume to give authonty to <br /> violafe orcancel fhe provisions ol any other stnte or local la�v re�u/ating construc6on or the <br /> pedomiance o(construction. That 1 am aufhorized by the ou-ner o/fhis prope�ty fo perform the <br /> work lor which application is made and 1 cornpty with fho State Contmctors La�v 18.27 RCW and <br /> 29G.200 INAC. <br /> .��r-/�� �'�' <br /> s- 3o - o (� <br /> iynaWre Date <br /> t_ <br />