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� <br /> � z - �-� -vj <br /> ELECTRICAL PERMIT APPLICAI'ION <br /> CiTY OF EwERET7 PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, Wr1 °8201 <br /> 425-257-8810 - FAX 425-257-8857 — ww�v.everettwa�ry <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Pfd <br /> �GS'��� l� clt���� F=\v�itiv�i, �Cv4•f� �"f{ �iY�3-�`1 <br /> PROJECT ADDRESS ' <br /> liar'�nnav��. l.��a P'�N ��AbS Shav�ror.�c N. t �`z11Ti��.SS4ti, 1-l. 3��DS I� <br /> Owncr M�il Addrass Cily Stale2ip :��.ens <br /> `�L.SC�n�\c•.. -�+��`icov.l a�i'3`i Lc'tb.� AvS, `LV4vi1{ �+V� �1`E3� <br /> Ten�nt MiilAddrms City Sla•e/Zip I Ph�+nv <br /> �`Efi� 1`2nr�c;,,r �IZ.ci <br /> �4J�1� �Ccv.,�.nC. �vttE ��� M`�k���4ty vl� �l�}�� ('�15� �`1<<•��L'4y <br /> [Icchical CoNractor I,taii Address Ciry SlateiZip ?hune <br /> ��L:,t, (�_T 1�1�IU ���°� <br /> Slzte Llcense Namber CoNracl Price of Wmk <br /> C`�Vv��mtir�'� a,\ �2.,1 {�- 'c�i�Sc.-� <br /> Proposed Usc o�Dudding Contacl Person (Plan Revicw) <br /> Dcscriplion o(VJurh W Oc Donc �1n5�v�� (\ � I IIJt'�1Y�T'Fl� �iC�'r� L 2��nq'+' <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITV OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> I hcreby ccr7dy Ihat I have read and cxamined this apphc�fion and know the samo Io bu t�uo ind <br /> corrcct. All provisions ollaws and ordinnnces r�ovemin�this Iypo o/work will be wmpleted <br /> whnfher spocilieAhoroin or nof The c�rantin�ul a pemid doos not presunm(o c�ivo authorrty to <br /> ��iolato or cancN the provisions ol ony other state or locallaw re,qu(afin,q construction or the <br /> pedormnnce oJ cons��eic(ion Thnt 1 am aufhorized by tha owner o7fhis property fo pedonn thr. <br /> work Ior whicli applicahon is mnde and 1 comply wifh fl;o Stafe Contractors Law 78.27 RCIV and <br /> 29G.200 WAC. <br /> �c�,w. �„LQ i a -aa -o s <br /> s��,n:mire oa�o <br /> �17S� 2-12.'-� <br />