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m:MyFaz - Rhema Eleetrlc To:FW: (74282578867) <br />14:23 0817 6/7 1GMT-05 Py 02-02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857-www.everetlwa.uiy <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />I ��U� �) ��Oi�.�.-��,JC� % <br />PROJECT ADDRESS � <br />r',,:.��. <br />� �..,t,,• <br />uwner — <br />Tenanl <br />fdeil AddfMS <br />hlaii Adtlress <br />� <br />��ty <br />Cily <br />Slale�Z�p <br />Stale2�p <br />Pnore <br />r'none <br />{'�� i�r�.�" � �d0`If". .,. �(i�r�.�" I�'Ifl�rt��nr l-J `IT:;) 5 i(,�`i��Y��i�% <br />_I. <br />CletlflCel CaniraClof I.leil AdJres! Ciiy $Io1e2�p Phore <br />�h� �lE_i���,,� F_�.-��lr� r� �., ' a� ��`�� � <br />Slale Lcense Numbe��- Contrac Pricc ol Wmk <br />r������ <br />Pauos d Use ol Bwla�ng Conlact Person (Plan Review) <br />Description ol Work Io 13e Done <br />�r-�r� P <br />�lOTE WIRIIJG IIJ NOIJ�DWELLINGS IS RG�UIRED TC <br />BE IN RACEWAYS, MC OF �C CABLE . <br />CITY OF EVERETi LOCAL SALES TAX CODE IS 7105 <br />� c-��i � � <br />FEE <br />I heraby cerUty U�nI I have read end erammeJ Ilus app�-calion and kno�v G�n snnro lo be true and � I� l. ��j - I L.� � <br />m.rocl �Il oruwc�ons ollaws and erd�nancos 9ovmmng ths fy-po of rvork �vdl bo complofod <br />�+hefnm spcaGad heiein a nol Tl�e 9ianhnn ol a pem��! doos nN presume to givo aufhoidy lo <br />��clale o� canr.el Iho �roviSiC��g ol any ofhoi slale or Ioc,N Imv reJ���ahrtV c�nsVuc6cn or fhp <br />po�furrnance ol consf�ucfwn. Thaf I nnr aullmnzed by fne o�vnw ol fhis pnpe�y fo Oorterrn Ihe <br />��:o�ti /or u�hn Ir opphca(ion is made and I mnruty redh Iho SL�Ie Confraclors La�e 18.7 RCW and <br />:5G 70J F4'AC <br />,�� � �-r i <br />.�. , <br />� r.�. <br />j ' �� . / �� � U�� � � <br />�.-�.' vl^�.. _i i' ' _.___.__. <br />Sipr�a re r C te <br />-- _. <br />L <br />