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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE1i, WA 98201 <br />425-?.5?-8810 - FAX 425-257-8857 - www•everettwa.org <br />ApPL�CATIONS AR� ACCEPTED FRAM 8 AM TO 4 PM <br />%D� 3�� Si ��R �i� <br />PROJECT ADPRESS <br />UMIet <br />Terant <br />Eleclrical Conlreclor <br />F�ruAi� so 1)CS <br />Slate Licens¢ Numher <br />'(LF+zTO� �?v�l, <br />Proposed U,e of Bui!�1ing <br />%oT 33�� ST � <br />AAall Address Ci,y <br />Mall Addresa City <br />Mai� qddress <br />ary <br />Sutc�?ip <br />State2ip <br />�a� 3�.7-5�t6/ <br />Phone <br />phone <br />51ate12P� �Q `. �'ti3 Phana <br />_"5 1$~ <br />ConVact Price of Work <br />`�ti.1 w..A-uf C�1 <br />Contact Person (Plan Reviaw <br />2.� - "701, - 1""rb <br />Descriplion of �Vork lo Bo Done: lA A ^ obuo '-"5��� ��7 �+ � .�Y`�S i�W2l ��� <br />��,'T1`�-'tY L}L 1Ft. � 1N Gt�Yh �M+ir �A'��'Ol� - — <br />�i G c'a9s� �t c rSZGrJ /� / 2ob -7'C �— l`1 � 3 roSL C,i�.Fs�."'i e.r�.7 �'^r'n� — <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO �E <br />Bc IN RACEWAYS, MC OR AC CABI.E. <br />CITY OF EVERETT I.00AL SALES TAX CO�E IS 3105 <br />1 have rond and oxamined thls opplication and know the same to be frue and <br />ns of la�vs and ordinances governing fhis type of work will 6e. co,mplofed <br />oro�n or noL The grantiny o/ a permd does net presume lo qroe aufhority to <br />r pro�dsro s of any othor ;tate or local law �sgu/afing conshucbon or tha <br />sNuct/on�That 1 am autf�onsed by fhe owner u/ this propedy to peAorm tha <br />i�_,rrnn �.. made end f comnlv with the S!a(e Contractors Law 18.27 RC W and <br />3 <br />;�'���33 <br />� ' <br />i OS3�'Oi� '�i�i'��V3!StiS 83MCd N338�y3�3 WV6� Ol llOb'�l A�W <br />