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R1ay 25 10 1025a SONS ELECTRIC 360 556 6520 p.1 <br /> � • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES s ��o <br /> 3200 CEDAR STREET, EVERETT, WA 98201 lj -a" <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org � �ObS��I� <br /> APPLICATIONS AR[ ACCEPTED FROM 8 AM TO 4 PM <br /> /y a 1 I��cr'Rr;c �=n..��� f��,e��a�.� <br /> PROJECT ADDRESS GV�c�r 7T `�l,P 2o j -.�GS <br /> � G�� l'�IY�s SNfA CEiTE1� DQ 5TE aoo .�1��/ls1Nvl r?�wCN �..✓. �'U/:�7 <br /> O�mer idail A[ltlress Ciry State/Lp P� <br /> Tenanl Na7 Addross Cdy ., : ; State2p PMne <br /> /.��-:� <br /> ��o�v� €L�GT�Z=C SJC- G�-nnL�� w� . 9d��31 (��o)Ss��Gsao <br /> Electricai Contractor Mail Address Ciry Stato/Zp Pnone <br /> I �,x�Ey ���m� �,�300 '� ,�57: <br /> State License Number Coniract Price of Work <br /> Gp ,-�+�� <br /> Pro�osed Use ol Quiltling Contact Person (Plan Review) <br /> �escripticn of Woric to Be Done: -�/�/ST!!>�% /�LR.Ti-'G r*�R �-G:�T�iv G .�1 T �� �^E'� �yT, <br /> NOTE: WIRING IN NON-DWELLING515 REQUIRED TO FEE <br /> DE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAl(CODE�S 3105 <br /> f <br /> 1 hereby cer7'�y thaf 1 have rood and ea.amined fhis application and kno�s the same fo be true and l� (i -�f� <br /> correct. Afl provivons olla�vs and wdmonces goveming thfs rypo of�v�ric will be wmplefed <br /> whelhcr soecfied he�cin orn�t Thc yranhng of a pemn!does not resumo m grvc aufhonty to <br /> violato o!corcel fbo provisions o'nny otl�ar state or loca/law reguP(ing cionsfmcLon or the <br /> pe�forrnonce ot construcfiori. Tha�I am authonzed by tbs ovmer of itns propoity to pedwm the <br /> work lor�vniGi aPp��catron rs maCe anC f compry v.�i�h the Sfafe Confradors La,v �8.2T RC W and <br /> 296.20G bVAC. <br /> lN '%lLt� � L � � r ��c <br /> Signnturc / �� ~�Uate <br /> � <br />