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� <br />� <br />ELEGTRICAL PERlVlIT �lPPLlCATlOR! <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - fAX 425-257-8857 -- v✓�vw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�hi s <br />`� /�� ��4ccl� /�{U� <br />PROJECT ADDRESS � <br />O�vner <br />Tenant <br />�14aJAtldress <br />Gty <br />^ (� 2 <br />C�ry <br />�Ssocr�f�� L�'1����1_ ��au z r� _s.w�w,w�,l�— <br />EleclricalConlrador MailAddress Cdy <br />f}ssocc'co 88ac. <br />Slate License Number <br />Slate2ip <br />U/,� P <br />StafelZip <br />�i-�d' ,LS_ <br />SlatelZip <br />�9� <br />Contrad Price of Work <br />i� -ai-is <br />�1�01��00 <br />P o���hs C! �u�lding CoNacl Persan (Plan Rewew) <br />Square Foolage Q( residential new construclion, remodel cr addAion) <br />DescriplionofWorkloEicDone: �CPMAJ� �k��ft.,if /�� WqT(� pGt(� (,J�.[� ?i(��Cd <br />Phone <br />Phone <br />Phone <br />� i�1 �f �.�1Q � e�..� Su t.� a�" L E� W 4 ff ��-r�. CG / S�t,., �/ac o 1�Jo �J <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIR[D TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FE[ <br />I�Z�;c� <br />1 hereby certily tha( / have iead and e.eamined ;his applrcation and knmv fhe same (o be huc and r I C Tl �— ( O/l <br />corruct. All piovisions olla�vs and ordinances goveming thrs type oI �vark u�ill be complefed L� J V v <br />�vhefherspecdred herein crnoL The granfing o(a pemut does nof presume lo give atrthonty (o <br />violate or cancel !he pwvisions oI any ofhersfa(e or local !aw regulating cons(rucfron orlhe <br />performance o�corrsbuchon. Thaf 1 arn aulhonzed b� lhe ownero/ (his propeRy fo periami fhe <br />n�ork for which apphcafion is rnade and I compfy vnfh fhe Sfate Conh�ctors Law i8.27 RCW and <br />296.200 WiI C. <br />�//��//S <br />