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ELECTRICA►L PERMIT APPLIGATION <br /> CITY OF �VERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /� _�6` �� <br /> 425-257-8810 - FAX 425-257•8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> C1112��� <br /> 52�� i�� �v�. vJ <br /> PROJC•CT ApDRESS <br /> 'j G�V�t 521`6 15'M �f. � �'��'te�c 1 1nl � �'1�Zo� _ <br /> Ownor Mail iUldmas Gty State2io Phone <br /> Tenant Mmi naamenL C�ry StotdZip /,�S �?�e`� <br /> f f� I U �.v� `� <br /> p��t � '�1 ✓1 VJ G o fl Gl � <br /> Gadriql Co ctor Mpll A oc Ciry Slale2ip Ptwno <br /> l ��0 �1Q� <br /> State Licensa Nu b Contract Price of Work <br /> Sl V� I�-C, 1�,wt� I v� Y t o v�-e. � a�-�_Gt i v�,1lc.r <br /> Proposed 8 of Bulldlnp Contaa Person lan Review) <br /> Descriptlon of Work ln Be Done: �,���� ���' `"1 � ��'v Y `�O� V v'�� <br /> IVl�1�-Q.Q�c-u�41 �1t,vJ �wiGte-� L+�K..e. (�t_�el_ _ <br /> � <br /> a� �°1_.�--. . --- <br /> NOTE� WIRING IN NON-OVVEl.LINGS IS REQUIRED TO FEE ^� <br /> 86 IN �C�bVAYS, MC OR AC CABLE. I � w <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 � <br />� 1 herr36y cer6ly fhat I hovo rtinAr�nd axomined thi,aqpficoflon ond know the somo to be true and 1—� � I.L��� <br /> cortoct All rohsions ollaws o �1�tdinoncos pnvaming lhis type ol work will Do complr��ap C <br /> whethorspacifial hmcin or �7hn g in,q ol a pe�mt doos nof rosumo to grvo acthonty to <br /> viol�te or cance!f�o prov ions of nny ofh s(qfe or Iceallov�WguPOng consWc!ron or O�e <br /> pnr/ormanco ol cor hoCl�t� That 1 om auf onzod by Iho ne ot this proporty�o pc�dorm tho <br /> 286 200 WAC%p �r ��nn/3m do ond I co �ply with fh mfo ntraclors Law 1817 RC W and <br />� /r, I r� I ` I <br /> /S��JW�O �lC <br /> \ <br /> �. :'�:1 L�E'�BLS�ScbT:01 :F!Q:9 i �-,�7z TTI���-�-r�fiH <br />