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FEi:-�a-�ii1�� 1��,1 [LcCTF.I-CITY 425 672 6799 P.n2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E�/ERE77, WA 982D1 <br /> 425-257-8810 - FfJC425-257•8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM 70 4 PM <br /> 150� Po-G��F-�c. A'.� <br /> PROJECTADDR[SS <br /> Owner fAailAddress City Sbte2ip Phonc <br /> �+u�MVY"�7 �A4 (��U.+L <br /> �ia(i�. l C.�odl� Uw��. <br /> Tenant MailAddrass City Stato2lp M+onc <br /> KIW�n�G.4... `�'LC <br /> ��e����-G�., th� ll008 SC"` A� W Te.�ar.w W� 98oV'i G7�•a�� y <br /> C-Io�triG1—G1�Contr clof tdaN ACdress cdy fitnlo2ip Phonu <br /> �cf c-r I ,c � ��BA 30�� o — <br /> State Licensc Numbor Contrad Prico of Work <br /> G�a� � �,,,,� It�- alw- l�.�l�„�+,� <br /> Proposed Use o(Duilding Contad Person (Plen Reviow) <br /> Description of Work m�e Done: o�.C..r �I.r. ��o�n wau�' <br /> NOTE� WIRING IN NDN•OW[LLINGS IS REOUIRED TO FEE <br /> OE IN RnCEWAYS, MC OR AC CABLE. <br /> CIIY O( GV[RETT LOCAL SALES TAX CODE IS 7105 r n <br /> I hureby ccifi/y Ibnf l heve/rad ond oXafnined thic applicxfion nnd know the semo!0 60 trvo end �^ I �� " � ��U <br /> correct. All pmvlsions o/lews ond ordmmrces govemrng fhis typo ol work will he mmpleted Ir <br /> whefhorspocMedhn�oimm�oL Thoyronfingo/operrrufdoesnof �rey�mefogivoeufhortfyfo <br /> vrolato or cencel fha pmvrsians of any ofher stefe oNocal law rngulxting cnnsiiucfion or Nre <br /> palaimanco o/con:frvefion. Thef l am aufhonzed by Uie owner o/fhrs proporty to pedorm the <br /> woik/ar which appLca(on it made end!comply wtth fhe Slafu Contracfors Lew 1827 RCW end <br /> ���96.700 W� /� i/ � <br /> �� � Z�2'��I.! <br /> Igniturc Oa� <br /> TOTRL P.i32 <br />