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=EF'-lc-c�ll 10:2ER FROf1:DAHL ELErT�TC-EVEF:ET 425-252-2999 T0:4252576a5�7 P.1�1 <br /> � v <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEQAR STREET, EVERETi, WA 98201 C� _ /'L ��f <br /> 425-257-8810 - FAX 42E-257-8857 -�vww.everettwa.org E I/O� ���, <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> 15 � � �iln Sr <br /> PROJECT ADDRESS <br /> �T �Fa/c�a.�,�.rF„� ; �,,1 �v�[�ti '�3 E��.��� wn� ��.20! h7ra fti- 44.�.� <br /> Owner Mall Addross Clry Stale2ip Phona <br /> kfK '"f74vE.2��� � Su� �ai �r �,,,��rr r.�.r't g�.1vr ti�s-asti-�a <br /> fenant Nalf Addre3s CI!y Slate2lp Phone <br /> S /:,NL CLEeTc��e 3bD� lvi�t�u�ALL A� �Cv�,ce « ld! 9b�� ��2s��sa� � � <br /> EleCtrlcal ConireClor Mall Address CIry Slalo2lp Phono <br /> ��r�� ec � R�� r�o — � �ov•� <br /> Stalo Uconso Number Conlrect Prica of Work <br /> E.9TrtV'n.lh AJ � <br /> Proposed Use of Bullding Conlact Porson (Plan Rovlow) <br /> Doacriptlon of Work fo Bo Dono: /l J.�l') ���k�T F�� ��Fr2 (GL�Q/,� 7'G� <br /> NOTF� WIRING IN NON-DWELLINGS IS RFQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hersby ce�tily that 1 have rand and exemined fhis op�llcatlon and know fhe swne fo be true and <br /> ccrrocL All provlslons of Inws and ordlnances poe�ornmg thls typ�o(work wlll bo complefed <br /> whotherspoG/lod horein ornoL Tho granOng o(a pormd doos nof rosume fo glve outhorify to / <br /> vlolofo or concol 1he provlslons of any olher stafe orlocallaw repuPetlnp constnicGun or tho � �/ //� 9-�[(l <br /> porformanco of ronstrvcflon. Thaf I ar�oufhodzod Fy lho ownor o((h/s proporty to poAorm fho � �� / <br /> worlc lor whlch appllce0on Is mede and 1 compty�;dfh tho S(afe Confrac(ors Law 18.27 RCW end (� <br /> 296.200 W <br /> `� • /� ' ,�Oc( <br /> S anatcre �ate <br /> _ - � ,a,�..:y <br /> `' .'�� <br /> Y ''Sr� ��� • � <br /> �.� } <br /> ._" _ ._ '__ H t .— .����.—� _.__ � ��s, aM,;fe�.� '—�'��.�,y,i � "�:.i��;—�i <br /> � c <br />