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EL.ECTRICAL PERMIT APPLICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C6DAR STR[CT, EVERETT, WA 98201 <br /> 425-257-8810 - FlUC 425-257-8857—e+nvw.everettwa.org <br /> ppP� !cqTIONS/+RE ACCEPTED FROM a ArA TO 4 PM <br /> 5 70� v�-e�-��—�een—1,.�� <br /> PROJECTAD�REs� <br /> Ownet Mail AAtlress C�ty StateRip Phone <br /> �dc�Fc Ca�s�' mn,�r.r•�als ����+3p CJ� �'UY l.Jf� 98ao3 4/a5-3ilf�-lFte <br /> l�enant MailAddress Ciry StatelZip P�ort: <br /> `1��e r�u �e�'t"L «� ��3� �5r 'IIY S ��Lr7 ��K�L �.�I� ���3"J� �53 3d9-55�5 <br /> E18CViC2lContfaCto� Mai�Address Ciy Slale2ip Phane <br /> vt�lEi,t�oEL�i �Giol� � �y. 9 _ <br /> Sta�o Licence Number Conlrad Priv:of Worfc <br /> �r �z,� I lP�o% R 7tPU;t�5 )zs� 7�w+w�c,r`� <br /> Propcsed Use of Buildinp Contact Person (Plan Roview) <br /> Description of Work to Be Done: I2M Z.� � '25 C 1.�2 c;,, h� 2��rJY p �L�en I <br /> j�1 ci"���� �'�,r t l �1n�M�w r� ��T�� O�fc_�1, f k:�IT- J7� f? <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> C� �� � C�a <br /> CITY OF EVC-RETT LOCAL SALES TAX CODE IS 3105 <br /> I hem.Ay tertiry fhat 1 have read and examined this ApBlication and know fhs samo to De fnre and <br /> correct. All provisions of laws and ordinancos govom�ng fhis typo o(�w&wi/l be compieled {-- It 11 �I� <br /> whe(he�spec�od herein or not The granting of a psrmif Aoes nnt nres!�me ro plve authanry to � � <br /> vrolnteorcance�tho provi�ions fanyofhersta7�cNocallawregul�(ingconsfruUionortho <br /> rAorma ce oI .onstruclion. T�af 1 am authonzad by thc ownor of this property to neAorm the <br /> �ork ror'��hic applica[ion isq9�/aae and 1 conipry w.irn me Stara comracrors Law�8.z�RGW and <br /> 296.200 A . i/� <br /> �/ � r / _ <br /> Sign0lure � Date <br /> 4 —_ <br /> �� �_��a,s�s,rz :�l F�!96SL9P88 ��a�:w��� bi :zt �ioz-zo-nori <br /> r.i.::,� �,d �- - <br />