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�- --- <br /> __ _— ----- <br /> ---- <br /> --- <br /> ELECTRICAL PERMIT APPL�CATION <br /> CITY OF EVERETT P�RIIAIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -',��;x�' 1�. F. � � l'.' �r ��C4'L 7"i (,r;iy. `�( ,.���j <br /> PROJECT ADDRESS <br /> _an�Ls ��: J.fi.,rz S1P.2LiC� _ � �`� ;�� L���,ti. �✓LK�.�� l�Jr ` �'��-4-d5-�1�-�fi'6� <br /> OWner M11ail Addrass Cily Slate/Zip Plione <br /> c��Me' -- <br /> Tonan� Mail Address Cily Slate2lp Pnone <br /> 1 ANSwEe E�Fcra=c,a��c. Po.8ox16� JuL�;�� WA• 9Ra94 �s=�45- �`I8', <br /> EIoC�fical ConllaClOf �dail Addrer Gty Slale/Zip Phone <br /> _1 AntswFl�959 PG ��a� .00------ <br /> Slate License Number Conlract Prico ol WorY <br /> Rc�� ;dc�-.���.L <br /> 5�l-�� �- G a '.,�.s <br /> Proposed Use ol Building Conlact Porson (Plan Revios�, <br /> � r <br /> Doscriplion of Work lo Do Donu: _ ����Ci r�d°� ?L� SCYV�< <-�� �' �ZC C � TQ NQ-� <br /> -_�� FM(� • P�NE-L- $ S2,Yv. Ct_�RA� . - - <br /> -- - - ----- -- -- - I <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR F.0 CABLF. <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS :t0o I <br /> � I h�vrrby�ceridy�thnf I hn�e�end zmd eaamured fhis application and know fho samo fo bo frue��nd ',. ���.i 7 i ��� � <br /> canect. flll prav�sions o(la�vs and o�Jucu�cc�s governirtg fhis type o(work will bo complefeA <br /> �alicfhe�speciGed homin u� noL The�ran6ng ol a pe�md does nof presunm to give aufhonty(o <br /> violafv or cr�ncel0�e/xovisions o!any other'stafe ur local l�w�e�ulafiny construcfion or the <br /> peAormance ol conslruclion. Thot 1 arn aufho�izeAby tl�e o�rner ol fhis property fo pe�forrn tho <br /> work lor which applicxtion is made and I comply wifh fhc� Slafe Confractas Law 10.27 RCW and <br /> 29ti.'100 WAC. <br /> ��( � �� 'il . �1 - �¢ - �O'3'� <br /> 4���.;�. � ' _i�4.�i� -- -�-----� —��ale --- <br /> � ��� <br />