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Feb 2B 08 03: 27p p• 1 <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVEkETT PERMIT SERVICES <br /> 3200 C6DAR STREET, EVERETT, WA 98201 a '-a'�`b g <br /> 425-257-8810 - FAX 425-257-8857-www.everethva.org L�g���61 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /`'/o � 6 20�.p l.vi4.9' �� <br /> PROJECT ADDRESS <br /> � 4� <br /> �o�r �f' �'rc c.�'�,� s �tt� /�10�. �rc. d U E�e � S3 z�'is <br /> ��..�P' " �2ar <br /> Owner Moll Addroas "f �— <br /> CItY SUteZP Phone <br /> 7enant Mpll Atldf099 Clty Slate2lp PhpnO <br /> �E(dl,.t��l�,�,. s`.�sr 34o i #�' <br /> �v A..v �v �it.�� -�'l �F� <br /> ElectdcalConUpctor MallAddross Gty SGiNZ�D Fhone <br /> ���M�S /SoL�/� <br /> Slato UCenao Numbor � Contfacl PdCe of Work <br /> .�En <br /> Proposad Use oF Buiiding � � Contact Pefson (Plan Rovl6w) <br /> � 1 � <br /> Dnacriptlon of Work to Be Done: a � �G �a 1 <br /> d D.A � I�1 � ,��2�v_�_LCv ti- .lrt7s,1�1E <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED 70 FEE <br /> BE IN RACEWAYS, MC OR AC CABLE, ,.o�.. <br /> �D <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hemby certHy that 1 hove read endexamMed this epplicatlon ond kr,ow tho samn to bo frsie end <br /> Co��eCt. All prov1510ns oflews end O�d7npOCds gov6m/np thls typB Of�tnrk wlll60 COmplgta0 c�Z— ��� <br /> whefherspBCif,'ed hopfein ornot. Thg grentlnp ol e permrt does not piesume to glw aufhonty to �6� <br /> p8rlormenceolConsWcUon�nThollamauthoNzetlbylhy�owno�o�lhl�prope�rtNytropa orm�tha <br /> work for whleh epplice�(!on fs mado and I compl��wlth tho Ste1e CoRfreefors Law 1 A.2I RCW and <br /> 298.200 WAC. <br /> ture � �� <br /> • a <br />