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EVEP.GREEN SECUP.ITY FAGE �2/�2 <br />1�/13/2��8 39:17 4253538934 . __.._ <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[ET, EVERETT, WA 38201 � L _� 3__ �� <br />425-257-8810 - FAX 425-257-8�57 — www.everettwa.org <br />APPLICAilONS ARE ACCEPTED FROM e AM TO 4 PM ��r�,��� —(� �j / <br />� a. ( U�I �}/1'lD2 � <br />PROJF.^.T ADDRESS <br />Owner <br />Tenant <br />Nall ntlOre:s <br />Idail Atldfe;s <br />Coniractoi IdallAetlress <br />��(� Ss1! a(-� <br />Stale icens^ Number <br />��-f%iC� IAS� <br />�posed Use of Duilding <br />���� a�w� <br />Gry Stata2ip Pno�e <br />ciry <br />StaleiZlp �I-� Phone <br />oC� J� <br />��or �'v7� u�/� 9S2v3 , 4�8'- 3b <br />Ciry Statarzip Phone <br />� � / �� �� <br />ContraG Pnce of VJork <br />u�- �yEs <br />CoMad Person (Plan Review) <br />Description of Work lo Da Dene: !' �D ��/w� e �1� -D _��% / Q � <br />�lL• ' L/C� J <br />NOTE: WIRING IN NON-01NELLINGS IS REQUIRED 70 <br />�E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVC-RETT LOCq� SP.LES TAX CODE IS 31D5 <br />I heisCy eertily fhsf � hove mad snd exnminod this applicafipn and know the same fo b¢ We and <br />tarecf. A!I prtroVis�en5 o/la�rs a0d oNinances paveming thr5 type ol woAr will be completed <br />wlrather specified hemm or noL The grentino nl a permd daes nof msume fo B�✓e aurSurii; to <br />viaate or cance� the rows�ons o7 any nther s13t� or loca� la�v raguPfing r,onslruc5on or fh3 <br />(�dormDnro ol cnn;�nicfion. Thaf I em aulhonzed by tha owner o1 th�s p�operty fv p^dorm fho <br />werk 1r.r �vhlph appl;CFifinn i5 roadn and I compry H�Ifh tna S!afe Ccnfrodcrs Lr,w t8.2i RCN'end <br />2y[ 200 V✓.7C. . <br />FEE <br />(I�p '��� <br />