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— � : 2 : < _.. � � � �. . . . . . � v . — _ � -- <br />ELEGTRICAL PERMlT ,APPLIiCA7lC�N <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERtTT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —wvnv.everettwa.ora <br />APPLICA710N5 ARE ACCEPTED FROM 8 AM 70 4 PM <br />1�3o I 1��� v=�- �v� _ <br />PROJECT ADDRESS �— <br />C�vner <br />1 �• � <br />Tenant <br />:` • i i f� _ -r, <br />Idail Aadress <br />AdCress <br />A <br />�i Glectrical Contrattor � A1ail ACdre55 <br />�o��z i P ��'��D� ^ <br />� State L�Canse Number <br />��� �� o-�r . <br />I F'roposed Use uf Bwlding <br />Description o' WoN: to Be Dona: <br />Ciri <br />i� <br />cny <br />S2telZ;G Fhane <br />u-ZS <br />cy?a�"�-;� i � <br />State/Zip PhG�e <br />���_I��.. G� �o►�_� h�� <br />Cih- Sate2�p Phene <br />� 2 O`-E� <br />Contract Pr,ce ot W ork <br />Contac� t Perso'�(P n Re� <br />"'�"� i <br />µ /1-GIl�C��Pi�Si <br />NOTE:: WIRWG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, IdC OR AC CABL'E•. <br />�CITY OF EVERETT LOCAL SALES TAX CODE IS,3105 <br />i hereby ceRily lhat 1 have read and exammed this application end know the same to b: frua and <br />coneCf. All provisions o(laws and ordinanees goveming this type of work wilf be completed <br />r hether specrfied harein or noL The grsnting o(a permd does nOt presume to yive aufhor,fy to <br />Ivio/ateorcancelfne provisionsolanyotherslateorlocsllawregulatingcunshuctronorthe <br />perfermance o/ consf�uctlon. Thar I am au(haized by the ownBr of this proNerty to parform the <br />�vcrk (or which epplication is made and I comply with the State Controctors La�v 18.27 RG�^/ ond <br />29E.2 WAC. <br />� ,1�1 ^�"I �/��"'"-� � � 1 �l''�-� � <br />� " �Y�"SiBnzWre 1 � �� � N oate <br />�� �Q Cct-�Q 4 d.5 ii � <br />�� �:� -- r'n,��,�-� �v��u��- �1c <br />__ '�_._ _ _ _—_.-----�---- <br />FEE <br />�� ��: o <br />k1 ?�U � fG'�r% <br />