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i <br /> ELECTRICAL PERMIT APPLIGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 7— '30—!D <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �C�Op7_,yb <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �32�( C�-s�v R n 1���7 /� <br /> PROJECT ADDRESS <br /> J����f- �.i�15 t 24 � 32,Y__C'�.���.� T Jr� 98?�3 <br /> Ownor Mall Addross Clty StalelZlp Phone <br /> �-5- 3zz- 53 <br /> Tenanl Mail Addr s Cily Slaln2lp Phone <br /> �.��.�LE� � l�2.� /9��i �� L�ti�/wa��d �� 9��6 <br /> [IeclricalConlraclor MallAddress CI StatolZip �,*y./�ppr� � <br /> CY(fl ZJL( <br /> �'-���--r�trt�'sr���11zk«�.�`�1 o i �� �/,� <br /> State Lico iso Num�� Contracl Price of Work <br /> J�" ll���' `l-1fivV1 ILy l,U�.(Ll r�(7 �4+�6�zl2� ' /Y/H�rl� <br /> Proposed Use ot Bullding Conlacl Porson (Plan Review) <br /> Descriplion of Work to �o Dona: ,/lf/( l � LC r 7S ��.t�� (/V 77/� <br /> ,������ �6��T5, ��o ���2 ����T Lf�l�7lir�l� <br /> ��� a�,�7�d,vs �� ��u� ��.�r�T� <br /> NOTC: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE 19 3105 <br /> 1 haeby certily fhnl 1 havo read end eznrnineAU�is applicnfion nnAknow Iho same to be fruo and '� 'I �'1U� _ l y� <br /> corcacL All piovislons ollews anA orr'innr.ces govominc�fhfs type ol work will Go camplofed �_� I V � <br /> �rhafh��sprciGeA harein or not Tho grnnfing ol e ponruf doos nof prosume fo g(ve euthonly fo <br /> violalo or cance/tho prov(slons al eny cthor stoto or locnl lew regulating consfruction or fhe <br /> perfomiancr o/consiruction. Thot I nm eulharized by fho owno�ol this property fo pedomt thc <br /> work for which epplicafion Is mndo nnd 1 comply wifh fhe Sfate Confrucfors Law 18.27 RCW end <br /> 29G,�00 L�t�C. <br /> /,' <br /> ���Y��C � 7 � `�, <br /> SI[InatU19 � .'���— Oale <br /> �' <br />