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F9C!A CITY ELECTRIC 04 03 200b 08:2Q/ST. 8:29 P001 <br /> � <br /> ELECTRICAL PERMIT .�4PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT. WA 98201 y"�3 '"`�g <br /> 425-257-2810 - FAX425-257-8857—r -,v.everettwa.org �� ��--Q�� <br /> APPLICA710NS ARE ACCEP7ED FRONI 8 AM TO 4 PM <br /> Ii�IF ��sah W' � �".mG18'�,h'L��t C1(a.�[11 <br /> PROJECT ADDRESS <br /> c;+� 'r�,�,� ��Q�'�x�, ���'�ap�- r�-1����v�1v,m;sr., ww� �, ; s� �a <br /> OwO� Mall Address Clty StaleZp Phono <br /> Ton�nt MnIIAGdresa Clty Slole121p Phona <br /> i^ se �s�i�� qr���roor'r �,`b.0 �ro�m;sh �,v��a q�9tn (3cco�5�o8-5o:i5 <br /> ElCctric0lContraCtor MailAddress , Cily Stale2ip Phcne <br /> CltK15F_�,TbO�oa. (CatMfa,ct"oc 5 ��ce.ns� Ch��sg �1Mvic� <br /> /`� <br /> [��Ftn3�to � �at�tt 8�.s;r�es� 1c�.rtisal � 1,00c.c� <br /> Statc Ucon,o Numbor ��� Contract Prico o(Work <br /> ( . 1c' <br /> C'nnS ti'R��CS�AY� �O�O �'Y10.e� � �A <br /> Proposed Use of Building Contsct Person (Plen Review) <br /> De3criplion of Work ro Be Done: ,�;lni1 F�mnr '�(`� '�. Se'0.V�C�. �'ct,C`��Qh ��-�L. <br /> N07E: WIRING IN NON-DWEL�INGS IS REQUIRED 70 �« <br /> BE IN RAC6WAYS, MC OR AC CABLE. <br /> CI7Y OF EVERE77 LOGAL SALES TAX GO�E IS 3105 <br /> I horo6y cortily rbnt 1 hovv road nnd oxnminod this apA/iwfion and know thu somo to bo truo and n <br /> corracf. �ll prov/slons of Isws snd ordfnances qovern(ng thls rype of wark wlll be,compfo(od � � <br /> whr.fhr.r spncifiod horcio nr nQf. 7hc grnnfing ol n pprmd dooS nof rnsumo fo r�n'o nulhority to <br /> vio/ale or wncr!fh'r prov;sions of any o(her slale orlocal faw�egu�liny conslruclian oi(h'r ' <br /> perlormance ot consvuClion. Thnf I om aufho�izCd by thC ownCr otlhi;propCrty fo pcAorm thC {�,�` <br /> work for which applict�lion is made and I comply with the Stflfe Contnclors Law 18.7.?RCW and �� ` _ .� )�/ <br /> 29G.200 W�C. f/ <br /> � ��� �+tv� �-.�i^ <br /> — Si�'gimlur'n'��T��� Oate <br />