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ELECTRICAL PERMIT APPLIC�TION <br />CITY OF EVERET7 PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI7, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2`c�� `oLl��iI��LLC.2 <br />c� _� —i?� <br />� ,oa y -�a�l <br />PROJECT ADDRESS <br />�, <br />�Z�(: � 2 j - <br />(',�,-��T���` �a�rdt�rTT (` F (?o����c S.Sy9 �1/lf4L7T 7yJ� ��os6 <br />Owner M1tail Address Clly Slale/Zip Phone <br />Si4vV► r <br />Tenant <br />� C r_nT1 <br />Mail Address <br />CT2� L <br />Mall Address <br />C,c��f'� Iql3��r� <br />Slale License Number <br />�>(_��� C�z �; p�� c � <br />Proposed Use of Buildin� <br />Cily <br />Clly <br />Slale2ip <br />9g2�z <br />►ti1ai,�o e <br />Stalc/Zlp <br />Cootract Price of Work <br />Phone <br />yz; -319-�9s3 <br />Phone <br />Ta-�N C ��ti1 � S <br />Conlact Person (Plan Roview) <br />n A A� <br />DescriptionofWorkto�eDonc: IC(z OC�TIz �jvT�-iLTS /�I�L� I—�tC.(Z,��'�V � <br />Z - i.�rw C << <br />l� a T�a c�,�r C c� Ti <br />NOTE: WIRING IN NON-D�VELLINGS IS REQUIRED TO <br />f3E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF [VER[TT LOCAL SALES TAX CODE IS 3105 <br />1 heroby ce�til}� Uiat 1 have rend t�nd <br />correcL All prov�sions ol fa�vs and c <br />�vhe(herspecifiedherinornoL Th <br />violafe or canccl tho provisions ol a� <br />performance o( consGuclion. Tliat 1 <br />tl�is <br />�vak lor which application is nmdo and 1 compl}� <br />296.200 WAC. I' <br />ation and kno�v the seme fo be frue and <br />Ihis type o( work will be cornpleled <br />does not presumo fo give aufhonty fo <br />� law re�ulnfing consWction or fho <br />a owner ol fhis properfy fo perfomi the <br />State Confiac(ors La�v 18.27 RCW and <br />FEE <br />,-, �,o ;l- L���� <br />� <br />