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r - ' <br /> ELECTRICAL PERMIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3 -a 3- 09 <br /> 425-257-881� - FP_X425-257-8857—www.everettwa.or� ��3_�OZ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> / b�'�17 I`I'�'� �� S� � S� I G I <br /> PROJECT ADDRESS <br /> p�e� MailAddress Ciry � Statefup Phonc <br /> �) P�1Ur�r�r,�-C�e-�e(?�6m�, �n� Pola�is �kw�� �w�lJ ('uluvnlous�n�� 4�3�av Gi¢-a�3-59��h <br /> Tenanl Mail Address City Slate2ip Phone <br /> o2e(p-7��l3Sa- <br /> ��rq✓�� �OZG�Y�f4�ns 3G,23 �/2"1�e r46na.G�/,�CuJ S ��.� Gt�� �S'135� <br /> Eledric I onlrador M '� Address \ t�iy State2ip Phone <br /> ( l�:i�/l I � <br /> Lv-� ��� svi3L '�3,qoo,� <br /> State License Number Contracl Price of Work <br /> �anL�K. ��d,� 0�n-r� I i n � <br /> Proposed Use ot Building Con�act�erson (Plan Review) <br /> � . � �� { <br /> Description of Work to Be Done: Y`2�DL��'�%�_[' '��Q�'F' - � I S�"I r'1G e��P�'h"�C0.A' `t0_ <br /> (,�e�rnac(�k� n� oJ� D-� -l-el�e�l ��i��dows ��.n�t� -��rn�-l-urP �ra ��-�n��, <br /> NOTE: WIRING IN NON-DWELLIN�:S IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY Of EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily thaf I have read and ezamined this application and know the same to be true and <br /> conecf. All provisions of laws and ordinances govemmp this type of work will be complefed <br /> whether specdied herein or not. The granting ol a perrriit does nof presume to give authonty to <br /> violate or cance/lhe provisinns o/any nther:tate or local law re9u/ating construction or the <br /> peAormance o/cnnstruction. That 1 am authorized by the owner o/this property to pedorm the <br /> work lor which applicetion is made and I compty with the State Conhactors Law 1827 RCW snd <br /> 296200 WAC. , ijln(� <br /> � ,;� �. , �, <br /> ; , � �9 �7 <br /> ;�!ii.l ��'��?'%i�i�i�_ ,�I� <br /> � Signalurc Datc / <br /> .-� <br />