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o��z��zoo; �s:a� rax fm ooaioos <br /> 6-3 � -07 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 - FAX 425-257-8857—�+nvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2.939 Cu/6y A�c <br /> PROJECTADDRE55 <br /> Svl..-. I�cacl�v �y3y Lolb-� Avc �v�.ett' LJFl vrtaol !ui)�Sy9yJy <br /> ON71Bt Mell Addross � City S�ale2lp Phane <br /> Esc� clo.-. ..1`139 t��/by /�ve `�✓erefl' �,/A yyao! �af3)�Y4-94ty <br /> Tonant MeilAddresa Gy StatelDp Ptwno <br /> �i'r Svsfc�rs F.,3l..�l�i��� �nc 360� Soi.�l. /i'�f S1: T.co,.,,;.�y3'yot �aS�)S'7•7-4yf+v <br /> EledricalContrador MaOAddrew Cny t:+�tr✓Lp ptrone <br /> AZRSY_EZ oU�iKS ,d d.oX� <br /> State Liconso Numbor ConVad Prico of Work <br /> ' _�e V� V� T4K4�r(SU <br /> Proposed Uso of Bullding Contac[Person (Pian RaWew) <br /> -- � - -� � - ' '�- --- - <br /> Despiptlon of Work to Be Dono: ��'Itf���� N<<✓._ � c�a�,L,�p/a f��>w+u b/t ���s� vs t<,f <br /> L�J/f'� A S �,Ity�-«' G�alc:e� l�a� rCLfS/n' fX/Sfirfj /ot✓.VU/fac� W%/irv� <br /> � r �'� <br /> 2 C LL'N�^fG'� �I+t HC UI1l� fn ��.L f X/Jf/N< ��hL I/O��Gf• e t_�i'v.'r4 <br /> - � i <br /> NOTE: WIRING IN NON-DWELLINCS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l heieby carii/y that l have reed and examined lhis epplication and know tha same to be true and <br /> comrc(. All provislons o/laws and ordinancos goveming fhis rype oI work will be cornplefed <br /> whefher speci�ed here/n or nof. 7ho granting o!e pemrt does not prvsume to give aufhortty fo <br /> vlolate or cancel fhe provisions ol nny otherstafc orlorallaw reg;:laGng cons(n�ction or fhe <br /> per/omrence ol construclion. Thaf 1 am authonzed by fhe owner o/this pmperty fo pedorm the <br /> work Inr which opplicalion is maJu and I comply with fh�Sfata Contracfors Law 1 U.2� RCW mrd <br /> 29B.200 WAC. <br /> ��e��h Talcaye5t,� G-� /_p7 <br /> sianamre �s3-'y,'N-aaGH nate <br /> ���a �-is3 <br />