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�us 11 06 09: 29p p• 1 <br /> ELEGTRICAL PERMIT APPL�CATION <br /> CITY OF EVERETf PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 � �I � _�/_ <br /> 425-257-8810 - FAX 425-257-8857 -www.evereltwa.org t� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � OvO� <br /> — 6.s�i s— G A�y �� z�3 E�.��-e /� Gr/A. 9�Zo3 <br /> PROJECT ADDRESS <br /> ,(�E ,�f-a JlAr�lr <br /> Owno� Mnll AOdress CRy S4N:e/Lp Phone <br /> � / � l f�l �" ' ' � I �����0 <br /> Stnte/ZIP Phqpp� <br /> Tonant Mxfl Aaarxss C�ry ' / .� <br /> � f /�O ,�fUX /7ti3/ .S�A�� �}a �� <br /> /�u,-Q �+/a s� FP c r/�_ <br /> EledncalConlracta MallAddress cin swie2n Nnone <br /> (Zo�)4s9 9y <br /> �P.�c E u/�� °J.s�//I/1" l� -,� � � �'i�oo, 02_— <br /> Slalo Licenso Ninnbcr Contrect Pnce ol Work <br /> /1 Q S /o1�s4� P - --- <br /> Proposed Usa o�Buildmg Conlacl Person (Plan Review) <br /> Oosai��ion ol Work lo Bo Dano: �.Li��l / w✓l P / �2 a/Z 7 Q <br /> � Z � C <br /> 6t-� � pf � � � ) / � ' <br /> 1 <br /> NOTE. WIRING IN NON-DWEI.LING5 IS RE�UIRED 10 FEE / <br /> O[ IN RACEWAYS, MC OR AC CABLE. <br /> � � -' <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9705 <br /> I heiuby cmfi/y thaf 1 hovo iend nnd exnminnd fhis epplicahon nnd Imow Ihe snme lo be tn�o onA <br /> eonerel. All provisions ol lsws ana ortfinanees govnmmp Uvs typo ol�vnrk wd!Ae mmplotnd —7 <br /> whnlfrer spocAieAherein o�nof. 7he granlmg o!a pormit does nof presume fo give avthonty to L lU �;;G�; "��� `- <br /> vrolafe or cancel fhe prvnsions of any other sfate or local law rvgulaLng conslnx:7ion or fha <br /> pononnanco ol cronstruc7ion. rn�t I am aufh�nted by Inv owner o!Ihis proparty fo pedorm fhe <br /> wo�k for which app6cabon is medn rrnd I r.nmpfy wdh Ihn titnle Conlrer.(ors Law 18.27 RCW and <br /> 796.7lJO WAG. <br /> � 8' /� dl <br /> Slgnatura Uatx <br /> , . <br /> V � <br /> ( —_ <br />