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� <br />; �-. ,_ �� <br />/ U -� G <br />PROJECT ADDRESS <br />�L Lc� � <br />Owner <br />Tenanl <br />ELEGTRICAL PERMIT APPLlCATlON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/c� na <br />c� `_� �% <br />ZC� Z �/C' � � � n� iT. E�t'7CET'� <br />Mail Address <br />Mail Address <br />WI(L�JO«�.SL-���rC /GIZ� <br />Electricai Contraclor Mail Address <br />l,U!lzr�li.iCs �) �{v L- % _ <br />Slate License Number <br />�Z� � � l�C-�/�/`�l/l L <br />Proposed Use o( Building <br />City <br />r,�ry <br />,� w � N� ��u � <br />�a' e/Zip <br />Sta(e/Zip <br />iZI�C� W <br />Stale/Zip <br />Contract Price of Wurk <br />� 2 �-/ Z "O 7 <br />E0712-�5� <br />y�s 3s� 8yvv <br />Phone <br />Phone <br />4 Zs <br />v! 1 238' � I S`j <br />Phone <br />Conlact Person (Plan Review) <br />Descriplion of Work lo Be Done: � U� ��. 7 c1�L/Cc= C F�/-1 N4l� ,��i � vCs l�i✓�g $'N�E <br />�,:/ 1%°!/.� �/ h/ f�l�!i G !� 17 f� /%F C..,T�L � o v V2 G 1 r C-- ll f� rc�i� Y� <br />S M C��<� 9L �Z_ � c_�'-_J <br />NOTE: WIRING IN NON-DWELLINGS IS RE(�UIRED TO FEE <br />BE IN RACEWi�YS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i hereGy cerlily that I have read �nd exarnined fhis application and know the sarne to be 6ue and � �,-1 �-L _��-�� <br />conecf. All provisions o//a�vs and ordinances 9overnmg Ous type ol work will be conipleted <br />�:hether specified herain or noL The granfing of a permd does nof �esumn to give au(hority fo <br />violate or cance/ the /��ovisions ol any o(her state or locaf law reguPting consVuchon or the <br />perfonnance oI construction. That I am aufhorized 6y the owner ol this property to perlorm the <br />woik for which applicalion is made and I compty with the State Conf�actors Law 18.27 RCW and <br />2—� Z—o <br />