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l <br /> ELECTRI AL PERMIT APPLICATION <br /> rITY OF EVERETT PERMIT SERVICES <br /> 3200 DAR STREFT, EVERETT, WA 98201 <br /> 425-257-881 - FAX 425-257-8857—wuuw.everettwa.org <br /> APPLICA ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> l l�i�� �� S� s�e l <br /> PROJECT ADDRESS <br /> OwnCt Meil Addree Ciry St01¢l21p Phone <br /> G ( rilly �'�� � S9��e ��ov `1�S• '�3,4 /�oo <br /> Tenant �-� Mail AAOres Ci(y Slate/Zip Phone <br /> �., r n � P �l� ��r C��l ro,�"r�fiz C. C,r,�lM,r-, �✓ ?S7 ,Zol y �q <br /> Etectrical Contraclor Meii Addros City StelMZlp Phone <br /> �' �22 - - 5 I�B `��G��,�) <br /> State License Number Contract Price of Work <br /> Proposed Uee ot Uulldinp CoMect Person (Plan ReWew) <br /> I � <br /> Descriplian of Work to Be Done�. "�Cv 'YP� CCUn ' Y ' 0 � �t'����'� �����"� <br /> NOTE� W�RING IN NON-DWELLINI'aS IS [QUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC C BLE. <br /> CITV OF EVERETT LOCAL SALES TAX COD IS 3106 <br /> I heroby cartily thal I havo read arrd axamined is npplicafion antl know the seme to be fiue and t� ,, �i�G� <br /> conecf. All provislons ollews arrd ordinancas ovorn�np Oris fypa o�work wlll be compleled '��{;�J� � <br /> whether specified homin or not. Tho granf�ng �a permR daes not rosume fo givo aufhority fo <br /> viulate or cancel fhe provisions ol any other stn o or local faw roguPfing constru�hon or the <br /> poAomianco oI consfruc6on. Thaf!am nuthori �d Ay fhe ownor ol fhisp�perty ro peAorm 1he <br /> work lor which npplicafion is mada and 1 corripl wiU�tne Stafe Contracfors Law 18.27 RCW and <br /> 29620Q WAC. <br /> I ��,,, � g,-13� �) <br /> �igna(ure Oate <br /> r <br /> L/Ld LSBBLSZS24 «618�-946-C92 '�!�l�a13P1a�uauuoS 60'tlEI-BO-OtOZ <br />