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f:' � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY (�F EVERETI' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 93201 <br /> 425-257-8810 - FAX 425-257-8857—www.evercltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> . ��� <br /> �� F�sT cfas���� i� � � <br /> PROJECT ADDRESS <br /> Owncr Mall Addross Clly State/Zip Phone <br /> �i Ll l3Lvia�� Z�`I GasT Cr4s��vo ��e�r�rr r,ua . <br /> Tenanl Mail Address Cily �—Sta�e/Zlp Phone <br /> Neo ti S>'s k�Ns .T-r-�G. _ <br /> Eleclrical Conlractor Mall Address Clty Stalo/Zip Phona <br /> GUE�SST'-� 976 e y BOo `i — <br /> Slala Liconse Number Contract Price of Work <br /> Proposod Uso ol8uildinc� Contacl Person (Plan Roviow) <br /> Doscription cl Work to Oo Dono: V' � � ��I�� s�`j"-" <br /> NOTL: WIRING IN NC?N-DWELLINGS IS REQUIRED TO f-EE <br /> BE IN RACEWAYS, MC OR AC CADLE. <br /> CITY OF FVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hcreby certily fhnf 1 ha��e�oad and examineJ fhis applicnfion and knmv fho samo fo bo Vuo anA '' /1 ) <br /> conrrf, All provisions cila�4s anA orclinnnces,qovenung this typo o/o�urk will bo complofed /- 'G�C�� � (�L.� <br /> whethei sper.iGoAh�roin or noL Tho pranfing ol n ponnd Aoes nof �rosumo to glvo nufhonty to V <br /> vinlnfe ur cnncel fho �rovisions o/nny ofher sfafn oi locnl lmv re�ulnting consfrucfion ortho <br /> pe;/ornr.�nco o/cons�n�cfion. Thuf I mn authorizeAby fhe o�snor ol this roporly fo perfonn fhe <br /> work!a��vhich npplicnfion is rnnde and 1 cornpty with fho Slnfe CoNrocPrs Law 18 27 RCW and <br /> 19&2P0 WAC. <br /> �'� I .. I ' <br /> ' �� " �=- —�1-' 1 b <br /> . <br /> �-= i�- � -�= <br /> 31qn.ilmr Uaie <br />