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ELECTRICAL PERMIT AF'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR6E1', EVE'<ET7, WA 98201 <br /> 425-257-8810 - FN(425-257-dEl57 -www everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2'�Z 1�0 f, � S.P/ ��� <br /> PROJECT AUDRE38 <br /> � �� �r � _G2a // �v_�l 9���� � � �D <br /> Owner I�ta�`�nd ss �/' � Staro2ip " Phone <br /> i enant <br /> ---�—�/ � MailAdd�sae C�ty Stete2�p Pnono <br /> �r�Cls/�m C-l� � ��i�—��'�?��'�i�'� '�'���u��lql�,Wq ��a7.2 <br /> Glrct�u+l Contrector MyiUAArese c�ry Staterf�p �no�e <br /> �reG1 e� �.� 2ou, ao <br /> Slale License Nmnbnr ContreH Prk:r of Wurk <br /> - 1l� U GGh���n�iaYi �1�m_ �� �L__71�62. <br /> Vrop aed ef of H��np Co act Pereon (Plan Review) <br /> � vV <br /> Square Foulaye(II residenti I new mnelnx:lion, remodel or addiNon) <br /> Or.scnption of Work le Be Da1B. ---.--�����D�� ._ . . _._._. _- <br /> NOTC. WIRING IN NON-D�NFLIINGS IS REQUIRED TO FEF <br /> HF IN RACFWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE 16 3106 <br /> I hrnrby cr.rlify fhaf I have mnd end oxsrnineA thie:npplir.sfiun and know fhrt�smn;o Ae fnie nrd � I �� � I �.� I <br /> mrrecl All proNsions ol inws nnd arrLnxncr.a govemrnp thrs rype olwnrk wili be r.nmplF�fed <br /> H�hether specihed horem o�nof ihe qranhng ol a permif does nof ineumc to yive aufhonty fo <br /> viol:ffn or r.ancvl f/m`r�ovisiuns o/eny uf6er slafe or kn�al law reyuPhnp consfruc(iun or fhe <br /> pi,r/omrancu o!cungbucdon Tlral I arn authnrirxd by Bie ownwr ol fhisp mpwrty In pw�/rnm Niw <br /> work lor which appl�cahon is made and I comply wifh fhe Sfefe Contractors Law 1817 RC4V end <br /> ?9R?00 WAC <br /> � � 2� /� <br /> ; --- p .e <br /> I - - -- _ __ - - <br />