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Oct 18 11 10: 23a Ky/l� Hdams 4253792613 P• 1 <br /> \ ` <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT.WA 98201 � <br /> q25-257-8810 - FAX 425-257-8857-www•everettwa.org �p /� �l l <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM r���Q-D Q U <br /> L <br /> �77��' l,0.CJv11 � <br /> PROJECT ADDRESS ` 37� <br /> �O�T 7�T�f`iC' �'t CArS�� �G� �l�i� �l�L�� Ie/LP �( J 3�IGPhon� <br /> �ef Mall AdOiess Gh' <br /> Tenen� MNI AOOrots ��b <br /> Slalo/LP Ph°�s <br /> (�� C� e(��a�;w( 4oN;us 3�}3� �ra�� Sz 5T �-4� 4���3 y7ss3��s�f$ <br /> Eledrical Contraclo� Mell Addrou Ctty Sfatc2p <br /> �6L s� <br /> ��a cce 9S �Z Conhacl Prlce of Work <br /> Slate Licenee Number <br /> ProPosad Une o18uilding Contad Penon (Plan Review) <br /> Destrlplion o(Work to Be Done: G"�0�� j n ) l� e�G��i�a� t �� l - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO EE <br /> BE IN RACEWAYS, MC OR AC CABLE. ��� �p <br /> i <br /> CI7Y OF EVERETT LOCAL SAIES TAX CODE IS�706 �� <br /> l hcre6y carfily fhef I haH��ead and oxemined fbis applicaGon and know fhe seme fo be frue and )-'I I I� - <br /> wrrtrcf. All piovisions ollaws antl adinances govammp fhls fype ol work will 6e completed 1� <br /> wheffwr spac�led horain or nol. TAe granfinp of a permd doas nof sume fo pive authonty fo <br /> violato or cancel fhe provis�ons oJany othersfate or locallaw repu aGng construcNon w fhe <br /> performance o/conslnrct7on. Thaf 1 am euthonred.by tho ownero/fhis property fo pallorm the <br /> work/or which applicahon is made and I comply wd�fhe Sfefe Controclors Lew 78.27 RCW and <br /> 298.200 WAC. <br /> ���� /v�_��� � � <br /> 7 �Q���� Uute <br /> Cal( �oC ���� �c� (@'Q� <br /> Fw�a:l Ky4 c,cdo�s � �Cele�Fr;� S.i �,^-, <br /> � <br /> Fmfu�S Q`� 8 d'.i��( <br />