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ELECTRICAL PERMIT APPLICATION <br /> v.TYD_EVER=TT?ER Ail;TSERVICES <br /> 3203 CEDAR STREET, E'VERETT,WA 98201 <br /> (R}425-257-8310 S=AX 425-25?-8357E:El„�sa.� e,.ei at <br /> ( (— tns�v r�,rv_twa.gav yvuw.Qve;Ytt,va.gCv(pescr?;r; <br /> pRo4acT SITS,iiwixptpitAblriti <br /> E..T tzsSg 4igim _' <br /> AREA -sJ r. <br /> = E LEC RIC&L . .L1 `1ON M 1N <br /> CONTRACT PRICE OF WORK: S "",.0 <br /> ca <br /> NUMBER OF DEVICES is Jaw v lla9a)f <br /> FIRE ALARM? 0 YES <br /> ONO <br /> ASSOCIATED BUILDING PERMIT# if aaplicable <br /> e`er 8T1L3_1t n� ,DIasr <br /> ab1FWR NAME: <br /> 4 o SO AlA TENANTMAa1tIcriTril e1 <br /> DoiNIER-MAILI+t,:x 41-"Ci ESS: zr <br /> ��!lTRACTJZ+4D7R=33: <br /> CITY <br /> STATE � 7[P2e3• <br /> CONTRACTOR PHONE: a +1 <br /> 10 CONTRACTOR EMAIL: 'h4 eapyitTer:A.-tietet « Y}? a <br /> •�':0 �+`.�µT�". r{�t��,�:tiREI�� gyp` � ' <br /> CITY OF EVERETT BUSINESS LIC,.#'REQUIRED: <br /> PRIMARY CONTACT: <br /> 0 OWNER r <br /> CONTRACTOR 0 OTHER(Please Specify), <br /> CONTACT NAME: <br /> CONTACT PHONE: <br /> 5 <br /> ,elcitie, CONTACT-EMAIL: <br /> deb.�t 111,x, 17 ,coil) <br /> AGREEMENT'i hereby certify that have read and examined this application and know the same to be lure and correct. All provisions of laws and ordinances governingthis <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any ether state cr <br /> local law regulating construction or the performance cf construction. That I am authorized bythe owner of this roe to perform the work for which a Jkation is hype <br /> g g <br /> comply with the State Cnntractcrs Law 18.27 RCW and 296.2011 WAC. properly riY <br /> Pp made and I <br /> City of Everett Cffrcial Use Cciy <br /> .._..., "��CL�... ` /} (( PER IT • <br /> ' „ ©• 1 <br /> Cuvr,errAtrtil'orize0 Aged-S.gratuie k-\‘-Ato <br /> cane <br /> lRavised 6/2;3r24:.,.; <br />