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�, <br /> ELECTRiCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98[01 3 `9 `'� <br /> 425-257-8810 - FAX425-257-8857 —www.everetcwa.org ("l�3 .v lt1 <br /> C '�-7v <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��� ��� �V� <br /> PROJECT ADDRESS <br /> � <br /> �(�rG �{rr u� 9l S� � �D% al�r�lrS/-/ �ezr,�.��"7 <br /> Owner ldail Address Gry Slale2ip Phon^ <br /> (/�/�0�1 c<Ji���G� l�'`lUo � ��� cu►�ii ���✓a�. G�� �a�' <br /> Tenanl A1ail Address Ciry StalclZip Phone <br /> ���'a,eD �t�u��r� u� b�26 i82.�rD �� S�J L�,,�.�w� ,wt� �r�� <br /> Eledrical CoNraclor Mail Address Cily St e!Zip Phone <br /> C�r�c��97S�7 �%� �/i� �� y� � <br /> Stalo Liconse Number Cont act Price of Work <br /> �Gf%�� (�T�i �l/ %t� �z/f!/ �� <br /> Proposed Use of Buildin9 Contact Person (Plan Revie�v) <br /> Descriplion o(Work lo Bo Done: ��1 � !/�U V '7����' �j� �LU (�'�15"—�1�� <br /> [ �/ �^—' ,�J ^ �— ( � � l r <br /> l�C— � � ��l��'G +�I D � i I PlG1 L�N% /� � J7 i� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO fEE <br /> BE IN RACEWAYS, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I h�reby certily fhat 1 have.ead und examined this applicafion and know the sarne fo be frue and <br /> cwncL All provisions o(la�vs and ordinances govemmg this type ol u ork will be complefed <br /> u�hethcr specdied herein or noL The granfin�of a pennd does nof �resume to give aufhority fo `� r� <br /> �iolate or cancel the provisions of any other st��te or looal luw regulnfing construcfwn or fhe / <br /> �.erfommnce ol nstrpcfion. T r�f I m� ufho�ized b}�fhe o�cner ollhis property fo perfonn U�o / � <br /> �,ork lor whicl a�plicd on is n ade a fd�onrply�vifh fhe Sfafe Con6nctors La�v 18.27 RCLh'and <br /> ;'96. WA . � �i <br /> � � �v <br /> � s�r�❑a���. o,i� <br /> �-- ----- - — — <br />