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Au — 11-30 11o28A p.01 I� <br /> ELECTRICAL PI;RMIT APPLICATION I <br /> CITY OF EVERETI' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 )/`/O <br /> 425-257-8810 - FAX 425-257-8857—�wJw.everettwa.org g� <br /> AppLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 pM �� ����Z <br /> — � 1�3� gi��� tt�.� _ v �s <br /> PROJECT ADDRESS <br /> 2 sf <br /> Iwss F,_. L F N��� `�� «3.2 l3r�o,�aw�[n- � i� qsao,� 9'io3 <br /> Owner Mail Address City S�ateZp Phona <br /> Tenant . �� MailAddreas CiIY State/ZIV L/ ZS Phona <br /> ��'�t��. sEs . 3�a� ��n� .�.�, _ �c� 9s1oi �s91'�� <br /> Flect�cal COnlreCtor MaIIAJdreae Clly Stale/Zip � Phone <br /> Ft�c-�i'v s�/YZt� <br /> Slata Liconsa Number � Contract Price of Work <br /> � � l��l✓ � ����' C�!' ��� <br /> Propnsed Uso ol Bullding Conlact Person (Plan Revlew) <br /> Doscripllon nf Work�o De Dono: _.[clS�l��C .�t1� �i �' /1•{l�'fS��j�0�1� � <br /> f <br /> NOTE: WIRINO IN NON-DWELlINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �� � <br /> CITY OK EVERGTT LOCAL 3ALE5 TAX CODE IS 9105 <br /> 1l�creby corti(y the(I havo reaAnnd examineA this appfication and Ynow tho same to bo lrtro and <br /> correcl. Aq provlslons ollaws and ordfnancus flovorrdng this typo ul woAc will6e conrplefed <br /> ���heflrer specifiod hereM or noL The�ranling o/a pernat tloes nof �resumo lo givo autAonfy to <br /> viola(o or cancol pr�I�rovisions ol any ofhor slato or locallew regulstinp eonstruclion or fhe <br /> yedomianco o/constn�cllon. Tha�1 am nufhalzed by lho ow�ter o/fhis propetiy lo poAom�!ho <br /> work lor�vh�cf�app/rcatiun is mad�r an;1 J Ccnrply Wlfh the Sf.'ife Conlr[fClors l.n�v 18.27 RCW��td <br /> 29G.200 WAC � <br /> __:�iL�/ � !I � <br /> naluro I a!e " <br /> lo�, �. n ��. <br />� _ <br />