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p.2 <br /> Feb0ot211�,11a <br /> ELECTRICAL. PFRMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE:, EVER[TT. WA 98201 <br /> 425-257-8810 - FAX A25 ?57-8857-www everethva.org <br /> APPLICATIONS ARE ACCf�PTED FROM 8 At�A TO 4 Ph1 <br /> I i <br /> iyZ.oZ ��c��77'�.ie.��..rescri' W� `182oI <br /> PROJECTADDRESS <br /> S}c.�e� l c.: �v� aZ �+cvc.17 i4.ie. �.�crc.'C7" �.-�f� �1$2� I C�fzs)L5Y1-C�SS! <br /> Cvmer �dalAddtess Ciry StateZip Phor.e <br /> � �V`4.atST �IJ� i�./if .SCVH t 4� 4�V C� <br /> Tenanl � MailAddrcss Q;y Stala7'P P.,crc <br /> f�l I F� Ids Clec�'c�I,�C I+(0.� GS7ree�t- �y.-��. C�A-��tr.aGu ��SLt-�: <br /> IGlec7iwl Conlractor Yall Address City SlateZp P�� <br /> flt.LF�FEq�t3T � 2�lY o0 <br /> � S�:eVicensuVumter Cor. ractPnceof4Vork ! <br /> �� �sA � - n�� cr��ts �s<ore "�,7f�C, �� �� )4fc�ly2. <br /> s Cantact�crs�n lPlan Rovie�v) <br /> Prop�seCUsao. 9uii �ng <br /> I 1 I I <br /> Desc-�puon❑tWorkto6c0ane �scz•��" k�� L ��'^^:'S � n''�^S�•�r��-I� �"�SMrii'S � <br /> � (�) ' � � T h � C31� `/� fr.l-�.rs w�Q-�l-t.s.��� �'��lc.si- +-1� l�w�r25-�- <br /> Rcp�.a� o�c� �..+r�o c w ��. � . �J <br /> NOTE: WIRING IN NON•O4VELUNGS IS REQUIRED TO �E <br /> 8E IN RACE'JVAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 3105 <br /> i1 hereby certifj th�f!ha ve reed and exam,;ned this apphcefion er.d know the ssrne ta Je 'rue and � <br /> corre:t. A71 provismn.^pf lavrs and Ordinanqas govem�r,g;bis!ype ot�.vorh�rv;l Du_co.mpfeled �I Z�_ 0 Z(o <br /> ,t-.tie�r.cr spo-rfied herorn oinof 7be g�or,Lng ol a perrM coes no!presunx to g.ve a�:honty fo <br /> vrofetacrc.+nrolfbe p�ov�sionsolanyothers�s!eo�lecalie:vmgulafmgconstrucf�onorthu <br /> pei!ormartce o/consLucfion. Thef l em aoftronzec'bv"•s owner e1!hrs property fo pedor.n fbe <br /> nvrk lcrv.m;ch appir:ohon u made and!compfy.r�rh.';he Sfete ConL�clars Lau� 7P.27 RC4Y and <br /> ?9E.e0D WAC. i <br /> I, �/�=i�?'�— c�/��a' <br /> Sipna:ure ate <br />