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FROM :Dicic Howard 3 Sons Elect� FRX N0. :4257765895 j - Jul. 06 2909 03:46PM P1 <br /> \ <br /> ELECT ICAL PERMIT APPLICATION <br /> CITY O j EVERETT PERMIT SERVICES <br /> 320 CEDAR STREET, EVERETT, WA 38201 7 �7,r p9 <br /> 425-257- 10 - FAX425-257-8857—www.everettwa.org �O ID7�-O �� <br /> APPI.IC TIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> /70a /�.u�i� �e I <br /> PROJECTADDRESS <br /> US �A�fIL CD� i � D 7 0 ,� - li✓ - / S4�I,2� -! Q/�� <br /> OWl�er Mail Add �s CRy State2ip PhOn� <br /> �� i�oa � �',��. E,��� �,�lr�- 9�aD� � <br /> Tenant Meil Add �R Clty StBIMZIP Phon� � <br /> a�y� <br /> -� ��,� l� �a.-d �t�c . �o Ba . � n��u,t�ad `✓A-- R ' �� <br /> Eleclrical Contreclor Mail Adtl e e Clry t�1a2P P�a^� <br /> IL SE� ��D � <br /> Slale License Number Conhad Price of Wo�ic <br /> Proposed Usa of Buflding Contect Person (Plan Raview) <br /> Desuipllon of Work to Be Done: �`7 l�J� <br /> I <br /> NOTE: WIRING IN NON-DWELLINGS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR A GABLE. <br /> CITY OF EVERETT LOCAL SALES TAX C E IS 3105 <br /> 1 hwaby ceRily that 1 have read and exemin this application entl know the seme to be trtro and ��—��',� -��� <br /> corract. A�I provisions ol/aws+�nd orduienc govemm�rhls rype ot work will be,complered <br /> whether specifiod hersin ornoc The prantl ol a pertn t doas nofp resume fo grve nuthonly tn <br /> vlofnfo orcancel the prov�aions of any olher ate orlocel lew regulafing consWetion or fhe <br /> perfomiance ol consfrticlion. Thet I am autl � zad by the owner o/this property fo paAain the <br /> work/or hich applir.aHon is rnede and I co h!Y wlfh fhe Sfate Conhudas Caw 18.27 RCW and <br /> 296.20 AC. <br /> � '�-� ; - 7• D <br /> igneture OatE <br />