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�. ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> /\tAeH 3200 CEDAR STREET, EVERETT, WA 98201 <br /> P 425257-8810 - FAX 425.257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 20 <br /> x ( <br /> .a�o sell <br /> PROJECT ADDRESS <br /> if 213'115 belch-0 <br /> EvvLLtt 5ehoct D;fstvrer 1 4 N» Evcrstt WN42TV3 425•'59')-L ovz <br /> Owner Mail Address City State/Zip t-V IL-0 LT wvtyjgw a <br /> ('`LA, 5 FA C L �a k( t,3µD So", 5t. Sw Ev+.YW WA 182-03 <br /> Tenant Mail Address city statealp Phone <br /> PiL� CDae1" E U_ht cal ConlYW rr5 1Lotwo wn to- B,ud . x'119. K11 t:rtttwik ft(J, <br /> Electrical Contractor Mail Address Cily Stals/Zip 4M 'b11•)1fAnrone <br /> ?At,Irc.ED1'7tAA 7 1 o r , , 1 12 <br /> State License Number Z�;(o �/ Contract Price of Work <br /> Fai3Ot (�° KAI, O'Rear far S;n*L.L)r <br /> Proposed Use of Building Contact Person (Plan Review) C4"n It(l <br /> 2OLD ZA1.14.t.R <br /> Description of Work to Be Done. tl�)g-v OAA� -h--\(LA:n 1 t4"� cuz` A� <br /> 5cwN Ai5h'ia. Now 5;"LL.� 4ofo Jt�.d, e,,enb�lt. t=Aa L'-)/ Pri ADA, AAAA VVLk <br /> &Xg+VbX <br /> LOAnr ELL&J-A'c. P"W"' G 12it^ CDc:Aei H-4- ct4XL&Pj p'LLL�w-.at or C. rrc <br /> . <br /> gx i nr,tA- ,h s� . S.Q.` .� •J <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and onlinances goveming this type of work will be completed <br /> whether specified herein or not. The granting of a permrf does notresume fo glue authority to violate or cancel the provisions of any other state or local law regulating construction or the <br /> ZIrIko or whhiich acons <br /> pl cation is made and I coromply�fh the StateeC nfras ors party 18.27 CR perform end <br /> 296.200 WAC. <br /> ►7 1r y _ �n <br /> 1 signature �[4 "Y�\VU.IL�,f.X.Y Date <br /> //" <br /> t tY <br />