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ELECTRIC�R,L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.overettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> `� I � T��-�c��v�7 u -�k �O�'� <br /> PROJECT ADDRESS <br /> Cve re{t C�� .�n c� �ritr L�C , 2�« P�c�e`�Ik�� Ave. � �ve��clfi �9�2c�i 4a5-�� �v <br /> CWnBr MOAAddiees Clty State.2ip Phone <br /> (�ese�-�- �un 3}to c�cadLLn�a�c-io� L-�,�� ve-ft-, wt� '�5ac>i <br /> Tenant MaIIAdCreee City State2lp Pho�e <br /> A���erican Neon• �.�2 ay+ti, Ave C+ Sw. �a�uxXx1 �vn �-►� ��3 (c;z���99 v <br /> EleclrlcalContrador MallAddreee Clty SteteRlp Phone <br /> � <br /> AME� � �v �r��2 I�'�� ��� I, . , �t;��_ 0�.,;�;�� 111 <br /> Stete Licenae Number ContraIX Pdce of Work ''�.� ��C / <br /> �r��_1+� - -Ir �t��,:��r � (�--�,. �J�,. � � 1����t:1�- � <br /> Proposed Use of Buile'ing Contect Person (Plan Rev�eYt) <br /> DeeaipNon of Work to Be Jone: L��� ��Lt 1� L �'1�t? ('�( 1 Si�i Yl u (��W�-f <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAY3, MC OR AC CABLE. � r G-�� <br /> J. ) _� <br /> CITY OF EVERETT LOCAL SALES TAX CODE 13 3106 <br /> I hereby ceMily that I have read and examined this applicalion and know the same�o be true and <br /> correct. All provisions of laws and oMinancos Aoveminq thls ty,oe of wak will be completed <br /> �vhether speciJied hereln or not. Tho granting o/a perrr,it does nnt prosume lo give authorVry to <br /> violate or cancel(he provisions o/any ofher state or I�cal law r6gc�atOrg consfruction or fhe <br /> perlornanco o(cons�,-uctlon. Thnt I am authonzed by fhe owner of fhis property to pedortn the <br /> work/or�vhich appl�Lafion rs mado and I crompty�vith the Sfafe CaN2cfors Law 18.27 RCW end <br /> 296.200 WAC. <br /> . ' I� <br /> �,� i 1 <br /> � � ��a 1'l_('1 ; � ; - <br /> pn uem <br /> I <br /> . �:c.. 7i� � . � �� � <br />