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� ' � <br /> J�I(�) <br /> AUG 2 7 2 1p U � <br /> ELECTRI�AL PERMIT APPLICATIO� �. <br /> CITY OF EVERETT PERMIT SERVICES �L1�' ��{ji`," `; i <br /> 3200 CEDAR STREET, EVERETT, lNA 98201 i <br /> 425-257-881 D - FAX 425-257-6857- www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FRON 8 AM �0 4 PM <br /> /D!� /l�l� �✓c' �� ��� %�' <br /> PROJECT ADDRESS <br /> Owner ldail Hddress Clly Slale/Zip Phone ' <br /> �i�NG'l/E'S'� �[�'i�il��l /%L'/y/` ��'/l�P �,E �l/�re 7�i� df��,P�o�'' S�l�7�/ Y7cG , <br /> Tenanl ail Addmss ,5 f(����� City Sta e/Zip Phone <br /> �,l"Di� V� 'iv, k'ftir�� � ;�' �Dyl, �r Sl S�P%DO Qd�u�/ lGf��J�'DZj ��i�11�Z3i <br /> � Cit S atelZi Phone <br /> Eleclrical CoNraclor Maii nddress Y P <br /> /�%�r� n_s.,>J�/�iti� ��3��o <br /> State License Number Contract Price of Work <br /> �=���-�;��.� �-=; <br /> Sh�,ur� �>li,r=�;;� yz; y��� iz;.�" <br /> Proposed Use of 6uiiding Contact Person (Plan Review) <br /> Description of Work to 6e Done: T�� ��� ��S�('f�) ���L''�'7 <br /> NOTE: WIRING IN NON-DN'ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAI'S, MC OR AC CABLE. �G), (JO <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �I v C}�- ��� <br /> 1 hereby certi(��fhat 1 havc read and r.xnmined this applicafinn and Imaw(he same lo be Vue and <br /> conecL F111 provisions o(law.s and ordinanr.ns�ovemmn(his type o!work will br. completed <br /> whelher specJied hercin o�noL Thc gr�ntinn o�a pernul does not presume(n rnve atdhority lo <br /> violafe or cancel fhe prnvisinn5 0/an��olher sfeila or local law�epulating cons(rucfion or fhe <br /> pcdormance ol consVuctior. Thal 1 ant avfhonzcd bylhe ownei o�fhis prop�rt�-to pedorm fhe <br /> work lor whfch applicalion is made and I comp!}�wifh Ihe Sla(e Contracfors Lah� 1C.Z7 RCIM1'and <br /> 296.20D WAC. <br /> / , 7 / <br /> �!—p/,i�, 7/9 .,, <br /> ����� I �i/ �w�L •"�'L'' �� <br /> � Sinnatur� � Dale � <br />