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Dec 16 �0 11:43a Microsott <br />2538635554 <br />ELECTRICAL P�RMiT APPLI�ATION <br />CITY OF EVERETT' PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vwvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM <br />g�`+o5 ��` A�� 5� E•:eaek�r WP -R�Zot3 <br />p120JECT ADDRESS <br />pwner <br />� <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />rv�t � 5 aba� e <br />CicY <br />StateRip <br />StalelZip <br />Phone <br />Phata <br />,'��CTRO GLE�T2t� L�C iasy� sE z�'� PL � 3� � it, w�� �5�� 5 <br />Eledrical Contrador Mail Addresz City SlatelZip Phone <br />� ( �� � <br />Nl E� Ro EL �( U i D f� Contract Price o( Work <br />Stale License Number <br />L,�,rt�-`j S({-t%J <br />Proposed Use o( Ruilding Conlad Person (F'lan Review) <br />pesaipllon of Work lo Be Gono: ,��U��` <br />�� h-s`5 a-v-r5� b U� b <br />NOTE: WIRING IN f:UN-DWELLINGS �S REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y certify th�f ! have reed and examined Uiis application and know the samo to bc We and <br />. AU provisions oflaws and ordinances goveming thk type oI work m7! be canpfeted <br />rr spec�ed herein or not The granGng o/a permd dces nof presumo !o giva aufhonty to <br />or cance! the prcvisions o( any otherstafe or loctil iaw regulatlng ca�strucf+on or the <br />oance o! conslrticlinn. fhat I am authonze� by fho owner ot tlus �roperty fo p�trform U�e <br />ir whicb annlicalion !s m�de and ! comp7y w�th the Sfate ConUadors I.aw 18.27 RCW end <br />-t5 -�v <br />� <br />��>��� �� �' <br />