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�1ay 09 06 03 43p DAVE HANEY 253-639•1742 P 2 <br /> ELECTRICAL PERMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES S _��6 <br /> 3200 CEDAR STREET, E`lERETT, WA 98201 <br /> 425-257-8810 - FAX 425257-8857 -www.evereriwa.org ��� S �v6 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 NM <br /> 70 /�{ Clkt7 y �0�;d ! <br /> PROJECT ADDRESS I <br /> �f+C���ror�� �O�ST �o, �x 7�/ �Ec� , w� � 9��� 9�s-8z9-os'9st <br /> Oy,T�y --- MrdlActdicu ---_—�—���— �II/ Stalcl�p Phone <br /> SP� F�us� _ � <br /> Tnn�nt --- MailAa9ress Cltp Sta'eJZIP Pno�e <br /> /�M�G'�' �GECm�� SJ�Co t�11il 1°0. BrO�C 8�79 �✓/r�El1a►�, WA 9&¢Z Z53-g5'�oa <br /> Cleciricnl CoMrado� Mail ACtlress City S4�:e21p Pno�e <br /> HAr'�Y E 5 9sl r�N �7�oso � <br /> Slate License Number Cont[acl Price nf Wo�k <br /> R�S/D�t�/G� <br /> Proposed Use ol Owldmg Contact Person (Pla�i Revww) <br /> ❑escnptionotWorktoBeDonc IN�TA"LL �t�G��ICA` �/��IJ�fI �IJ l`��� /"J`�u5 � <br /> �L� �*�D �mv✓ �DL7q�Ca� �G IT A� c,J��L __ � <br /> NOTE: WIRiNG iN NON-DWELLINGS IS R[�UIRED TO FEC <br /> BE IN RACEWAYS. MC OR AC CABLE <br /> �--- — <br /> CITV OF EVERETT LnCAL SALES TA%CODE IS]105 <br /> 1lrere0y certdy fhal!fraw reod end exanrined this nppl�cotion nnd Fnua�11�e saoie fo h,7 l�uo arnY <br /> w�rr,c7. A!I prows�ns u/luws a nY tr,Y�nanccs qovemmg!hs typc ol waA wi!I bo oompk+tra <br /> wnether specifi�d haiem o�nuf 7he yranhnq of a permd doos nof nrosumo to gnre aullarity fu <br /> wol�fo Cr cancel(he prrn�ison ol uny ofher s;afe orlocal iaw reyulatmg cnns(rucbo��or the <br /> �wAormance ol vnstrmYrnn. 7"hal l am airthnnred 6y Iho owner o!f'�is properry to per!erra�hn <br /> 96?00'NI� ap{�.tc�fio�r rs r:ade arrC 1 mrrrpty wrth fhe Slafe CM(me'ors La�� f8.2� RCX an� <br /> ,. / � 5�9�200�0 _ <br /> �si8nanr e ----- oa:c <br /> I i � , <br /> / . 1 i <br />