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Fah PI n7 n;:5Pp <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 — Ymw.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />IF 0 9, 9,s " �7 <br />PROJECT ADDR— ESS <br />F.1 <br />131ZllG UDC' 404MY10 Cf <br />g31y11 -1 <br />kV ?/)oy <br />59/?'' <br />Owner W21 Addroas <br />Gt. <br />54te210 <br />P1,cne <br />Tenant Neil Address C/�5 Phe^.e <br />a%/gam rs 34o V �/-UC-a�/ 252��1�/ <br />Electrlcal Contractor Nag Address Clty E:s Ie21P PI C,1e <br />Stale License Number Contract Price of Wort. <br />Proposed Use of Builcinp Contaal Person (Plan Review) <br />Description of Wort. to Be Done: A Ue- _ i �i %I IGLI�Oge = <br />NOTE: WIRiNG IN WON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVERETT LOCA L SALES TAX CODE IS 31108 <br />I hornby certify thet I , eve reed and examined this application and know the some tr.be true and <br />correct. Alf prpWslons of laws on' ordinances goveminp this type of wow will be completed <br />whether specTi od herein or not. ire granting of a perm t do@ not presume to give authorttv to <br />violate or cancel gre provlslona of any other state or local law regUlering construction or the' <br />performar,-e of constructlon. That I am authorizes by the owner of thls property to perform the <br />work for which application Is made and I comply with the State Contractors Lew 18.27 RCW end <br />2P6,200 WAC. i <br />9 <br />FEE _7 <br />�SO b <br />