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10/=0/^_009 TUC 9: E9 �AX 20632�7.1G 0001/001 <br /> � <br /> �le��� l�c2ll -�i- C�ec��t ('�.t�'�+i' ���. — <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDP,R STREET, EV[R[TT, WA 98201 <br /> 425-257-8810 FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �,.9 $ /,( t_('riSino � fveie�� <br /> PROJECT ADDRtSS <br /> � oc w, I I�Y��15�7 ieS 14��S 1.�,��> �'-E Sea-ltie t.e�, �81��I- <br /> Owner ldailntldress Ciy Slatc/Zip Phrne <br /> `�1�11P��._�Q�CP�_ <br /> 70n3nt IdailAddress CAy Stute�Ap Phone <br /> 20(� - 3t8- <br /> _ld.111`'���rxrl7�n /���,lrm I253 S J���kS(r�_5�. _�c�n-�1� i,uA I GSI�W- 3�Y�� <br /> GlectriCal CoM lor MailA�diess , Ciry Slate2lP Phona <br /> wAsF41nT- 2`52C3 ,�-� I � �� 343 .00 <br /> St:+tn Liconse Numoer � � � ,L / Contract Price of Work <br /> � �,�f '� � - t <br /> ���a� L �� � ��- �" �Pu��, Fve�� <br /> P�uposeA Uso o18wlJ�ng Contac.t Person (Plan teviewY ) <br /> Uescnptian of Wurl.to Be �one. �(l�j�LL��CLIIbYI O� � �Q_� __S�' . � Su5 �C'.� <br /> J J <br /> NOTE WIRING IN NON-I)WELL�NGS IS RFOUIRED TO PLE <br /> BE IN RACEWAYS, MC OR AC CA131_L � OL� <br /> �0. _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�106 <br /> I hcir,hv cnrtdy thaf I h,rve ro,�J and ewmmeU(his appLcabon and Anmv fho sarno fu be truo and <br /> ronecf� All provisions ul lu�vs and urdmancos govornmg fhis typo cl�uo�0. �vdl bo comp;e(�d <br /> uhcther specihed hnian c�nof Tho�runhna ot a permd Aoes not/�rrsuni�W grvo au9�onty fo <br /> nol.�(o o�cancel fho piov�;iUns o/t�ny nthm sfato nr loral la�v ingu nln�o construcLon or fho <br /> prilnrrnarre ot construcl�on lhat I am ,ufhan,eJ by 1ho a�5�nnr ol Ihr.s u�rparty to podumr tho <br /> u�,�ih!or�rh.rh nppl�caf�.�n is mado end I coni�+lv���ith fhu Sfa(o Confia„f�rs La�v 7B Z7 RCW and <br /> ^�E P00 lM1o1C. <br /> ��lC� ��/�ilL%fd10)� /0�2o�i79 <br /> ' signmwc oa�c <br /> �t <br /> li � i � � <br />