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03/0 i/:.'0(17 I G: 22 I�:�\ <br />ELECTRI�AL PERMIT A�'�LIC�4i�CN <br />CITY OF EVERET7 PERMIT �cRVICES <br />3200 CEDAR STREET, EVEREIT, VJA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evsrettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />�13z G� Dr �,'�v� erek�-, L�3� I I o <br />PROJECT ADDRESS <br />Qj001i001 <br />l c, ('o�r�-. pn.{g y� ��5�s �ti��.{ A;��vr� �aa q��� Za3�sz <br />Own�r Mall Address City SlatolZ p Phono <br />Tenanl <br />Moil Address <br />Clty <br />StaldZip <br />Phona <br />j,)Akr�1,1 G� , , ��ua�j�-A�`Y�-�E ,L�S�L,�.v,s U��aR� t1���-���na <br />ElecUicai C'Antractor Mail Address City StalefLip Phone <br />11c�� nf� z�-��t�Cg <br />Sta e Liconse Number <br />5��. <br />P�oposed Use o( Duilding <br />Descriptior� of Work to Be Done: Zl�� � ��� S� Q <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CAEiLE. <br />CITV OF EVERETT LOCAL SALES ifJC CODE IS 3105 <br />� 1--1qo� oG <br />Contract Prfce of Work <br />�j\1 Lf.lh(aU� <br />Confact Per- so�n Reviaw) <br />I heroby certily that 1 havo road and exam/nod this applrcation and know fiio same to be true and <br />carecl. All provlsfons olla�vs and ordinanr,es govoming thrs t! po ol worK will bo complefed <br />whether specified hereln or not. The Uranting oI e pennN aoes not presume to givo authority fa <br />violateorcanca/tho provisionso/anyofherstetoor/ocollawrogulafinyconslrucUonorthe <br />pedonnance olconsiniclion. Thaf l am authonzed by tho oivner ol this property to podorm fhe <br />wo�k for whlch applicatiun !s made and I cornpty with the Siate Confractors Law fd.27 RCW and <br />296.200 WAC. <br />FEE <br />``LV <br />, v� � 3 7 <br />I <br />J <br />