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O1/2�J/2�a�9 14:01 4254895288 PAGE O1/01 <br /> ` i <br /> ELECTRICAL PERMIT APPLICATION <br /> C17Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � � a0--c.�/ <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org �O 9O f _�y <br /> / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Z��s k►�u.oaE' �t•rE <br /> PROJECTADDRESS <br /> �I��AF3��rT�Q- � Gl�lala �,'� �/�FST 9�rD! <br /> Owner �dallnderccs Ciry SIa�o21P Phona. <br /> `��c.NlRT-1 1�L� ��� <br /> 2�Zs w�oeE r�� s�e�.�i�9Bu► 3i�-• �c) <br /> Tenant Idail nddress qh� Slala?p Phono <br /> Zs3 <br /> �� Tue��rT�-� �=�u.c� //}3'l`/ h%� CP-e'tie�.uv�� r�$/6T P:i71ru 4,�'N A(''OI �5�7- -Ilb� <br /> [IeCtdWlConlractor MmlAtltlress Clry Stala2lp Phono <br /> 1C±�1 ��'LCI'=�1:Js ��FJ�r Da <br /> State License Number CONrod Price of Work <br /> _t'.c�3 r°�.x Zy3.q}"�-�ie.�4 <br /> Proposed Llse of Bullding Contact Person (Plan Fteview) <br /> Description of Work to 6e Done: /�`7�LCi �LWZ/� ��Zj- Ll <br /> NOTE: WIRING IN NON-DWGLLING^u IS RE�UIRED TO FE[ <br /> �E IN RACEWAYS, MC OR AC CABLE, <br /> CITY OF EVFR�TT LOCAL 6ALES TAX CODE IS�705 `—�� I ` ��,� <br /> 1 hemby certify thsf I have�ead and oxaminod Uii��pp11c�H,n ond Nno�v thn ssme;o bu We and `,y_ <br /> correct. A!!previsions ol/aws an0 oNinances go�eminq�h�s typr o(�wdr will bo completed <br /> �a�hetherspecilicd her�in or noL Tho pr�nflno eI a pCr,rSd tlCes no�prusuma tu yive aufhorlty fo <br /> vioiate or cancvl tl�o prov�sions e'any efher sfnte or locsl lsw re,yuiahny cons(�uc;ien er fhe <br /> p�rtormancv M c.rstroc;len. Thet I nm aulhorrzetl by ihn au�nur o/fn/s property ro peNorm fhe <br /> i+rork for tvh�ch opplication is made and I cnmply mith 2ha St�te Confrncfors(.a�r 18.27 RCW and <br /> 296.200 bVAC. <br /> �� -� R_.�, �—Z��o/ <br /> .iynawrc �—�`� oace <br />