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--- --- � - _ -- —� ------ --- <br /> � <br /> ! EL�C�"RICAL PERMIT APPLICATION <br /> ' CITY OF EVERETT PERMIT SER\�ICES � � _a� ,� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•'157-8810 - FAX 425-257-8857—www.everelhva.org C' O� � a —/��j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TU 4 PM <br /> 3� UI RK��i�Lt�J�F. . <br /> PROJECT ADORESS <br /> Yi,�lt�(i WOtv�LN'S (��� <br /> er���s'n�rv .hss�c � �� K�� �tvE . S�A,T1� ��w ��r�� 4101��1 <br /> Owncr MailAddress Cily Slale/Zip Phone <br /> t2�� <br /> S:fi1�.1E. 33(�I (3ft1fr71�A�1 f�-1r-�—�'Vl'�'Ei�' �flA� C1�/JLL>I '�{D_I- ��C� I <br /> Tenant MailAddress City SWle/Zip Phone <br /> Si1L��.uNC .t7Gt� (ZC;t�� <br /> ��1u;Ni�iC� I?�'�J flt.1��1� T�—Sl'1fY��tIN� ��1 �j�t33 �l t-4�,�3 7 <br /> [IeclricalContraclor MailAdUress City Slale/Lp Phono <br /> Sl�?OR��,qq2131.t� ����?.CC� ' <br /> State License Number Contract Price of Work <br /> C�tit c�-�l�L — <br /> nn�(�K R�e+�A��� s � <br /> Proposed Use of Builtling Contacl Pcrsun (Plan Review) <br /> I Descriplion o(Work to�e Done: � If'Sl1 _� ��ri[21 �� � � a n,>>nws�n �AR��T S1�-n�S(c�1 �.11�L <br /> ' ,�Iv� P.1D.� fL�=vATIpY��C.� A-tvi��D1�r'l�T'm ��-�L ' L-CIRCI.UT�_ <br /> flJ.��iZ6�JSS1�Rs• <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� 1 hereby ceilify flraf I l�ove rend and examined fhis applicntion and know fhe samo to 6e tme ond <br /> r.nnec(. All provisions ollaws and ortlinances c�ovemmg Ihis type oI�ti•ori<will be completod I <br /> v,lmfhcrspecilied he�oin ornoL Tho gn<n(in9 ofa pemuf docs notp msume�o c�ivu airthonty ro <br /> violnteorcanceftho provisionsofanyothersfa�eorlocnllaw�ngulafingconsln�ctiono�.he j <br /> �mrlomianco o/conslnic7ion. Thaf I am outlionzed Ly fho oK�nor oRhis propedy to pedomi tho �.� <br /> ��ork lar�vhich npplicafion is mnde and 1 cornpty wifh fhe 5(ato ConfrUcfors Law i8.27 RCW and I� �� <br /> 29G.200 WAC. C / <br /> �!�' <br /> ��' _b,L.�l„-p�'.t►���� _ ►z)�s�).�9 <br /> Signat � D�a e� <br /> � <br /> I <br />