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-� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �r �� �a <br /> 425-257-8810 - FAX 425-257-8857 —wvwv.everettwa.org �/ <br /> � r�d 3 •-D65 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �Q�/ � �SSoCia�ed 3�Jq . �F3�dR, b, <br /> PROJECT ADDRESS <br /> I zs3 3 B- <br /> /)1a��y,� � � .J �2✓k3ert-�- 5te�an� USR /5'/o F�rt/ic,�JAJe. E,�S'nD� �u2.., <br /> owner Mall Addrese ciry� StatellJp (�J/�, �J$/q�P��one <br /> ���5 (0(0/7 !}Ssouo.�-ec� �31dc� Blaa � E1Je,tr.l�1- I�►h 9SZe� zo� y9�-8 z <br /> Tenanl Mall Addrese ��Y Sta�°2iP Ph°"B <br /> �A,� / l�e�n � vc�f�L 3810 i[�PG �lE �2oa A��i„��an 4�1�• 31���1- <br /> Eleclrical CoU ractOr Mall Address Clry 1e21p 98�3 Phono <br /> 5mo a ,/�E r7'3 v►��3 � 22,?$0 ,— <br /> State Llcense umbar Conlract Price oi Work <br /> ( "L�Q ///Qi�ff� <br /> Proposod Use of Building Conlact Person (Plan Revlew) <br /> Oescriplion of W ork to Bo Done: �Zt i�ct' i'1 u /' OY�/[P� �4 re<'O ts�C. �DLL/e.� <br /> NOTE: NIIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AG CABLE. <br /> ��- 7� <br /> CITY OF EVERETT LOCAL SALES TAX CODE 18 3105 <br /> 1 hereby certily fhat I liavo read end examineA thls applicafion and know fhe same to be frue end <br /> correcL All provlslons ollaws and ordinences goveming thls rype ol work wfll be complated <br /> �vhefhe�specllied hereln or noL The granfing ol e pemuf does nol presume to g(ve aafhonty fo <br /> violafe or cancel fhe provlsions ol any ofher stafe or locel law rogulefin,q ronsfruction or the <br /> perfomiance ol construcfion. Thef 1 em authodzed h,y fhe owner o/fhls :voperty fo perform fha / <br /> work lor whlch applicafion!s made and 1 eomply wl�h fhe Stafe Confraetois Lew 18.27 RCW end � I I o 3 a�S <br /> 296.200 AC. i <br /> � ✓ 3�i7 <br /> SlgneNre Date <br />