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� � <br /> � - - <br /> - ---- ---- — — , � <br /> I ELECTRICAL P�RMIT APPLICATION <br /> i CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —v�nvw.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> a -�3-�3 <br /> �� ��� _� �U <br /> 32d 2 Cvc.r�� �v� <br /> PROJECT ADDRESS <br /> IOwner I.Sa�lAdaiess C�ry StatMZ�p Pnone <br /> �E�2Fa 2 n���v�E f��m � �i«c. <br /> 7enant 'dail Atltlress C�iy Staterz�p r�rone <br /> � 2�v.�.N 4 ELEGTiQ�G �o y �y�� �� sw ,��ti�,w,� Q��� s�7y <br /> [IeqricalConlractor rAa�inadiess C�ty sfaie2�p �rone <br /> I 1��(DDE�a(o/�� ��� • _ , <br /> State Llcense Number ConUact Pnce of Work <br /> CO M�'�EXGr,� D6�'�(C E ,f'l',�cE .I�Gl�f'w€ /�{/D�.�� <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> I <br /> Square Foolage (If residenlial new conslruUion, remodel or add�fion) ' <br /> Description of Work to Be Done: ��ANT TM�i(�(/�/� �Al% ^ �� 3 dW!%!/�.f I <br /> _� 2�'7�r2��E�' � �Fcaa�-iE__�'�� i�,�/G L��v'-1' �i![°_x �� __ <br /> — - — i <br /> _ _ _ — — � <br /> � <br /> NOTE: WIRING IN NON•DWELLINGS IS f2E�UIRFD TO F[E � I <br /> BE IN RACEWAYS, MC OR AC CABLE. �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 31D5 " _ I <br /> 1 hereby cer7i(y Urat 1 have read and examineAfhis application and kno�v fhe sarne fo 6e trve and ^ � <br /> correcL All provisions o/laws and ortiinances govemmg lhis type o!work will be completed 1 (� Xr I <br /> whelhr.r specdied liemin or noL The granhng of a pertmt daes nol resume lo give aufho�i7y fo 1 �"��(�y- <br /> vrolale o�cancel the provisions o/any othersfate or/oca/la�v reguPling constn�cfion orlhe I <br /> pedarmance ol cons(mctian. Thaf!am aulhonzed by Ihe ownerof(hisp rope�ty�o peAorm Ihe <br /> ivork for whic � tion is made and I com�Iy�vifh Ihe Sfate Con�raclors Laiv 19.27 RCW and <br /> 296.200 L <br /> �z .�J . Zrl/3 <br /> S�gna rc Date <br />