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r- --- - --- <br /> ELECTRICAL P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRL=ET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM a -a° ��3 � <br /> E�3oa-� �h <br /> �I �708 E C'asc.na /�o�tid , F�c�e �--F 9 g 2c23 <br /> PROJECT ADDRESS , 'P"bl <br /> Kem'Q e� PfoP er-}i�s LL.0 ��oT/NA BuTLE2 �148 3�?a <br /> [ TINA BUT(.�26� �.._. ��1V g�I M I I fCCIC. W � `7 8D0 / <br /> �d rfQn[e5 ��mn_Pf�Q ' <br /> Owner � M;il Aadress Ciry StatelLD Phone <br /> (4as> <br /> :TPn o rt�.� 7'1�8 F C - - �'r .�.n i tF W A <br /> Tenant MUiI Addmss Cdy SixleNip Phone <br /> L� l.v n P r Pho�e <br /> Eledreal Contraclor Meli Adtlress Ciry Sieie2ip <br /> State License Number Contracl Pnce of Work ! <br /> �_L[�v�-� c� � res�!]4n T� 0. � Contacl Person (Plan Rewew) <br /> Proposed Use of Bwldmg <br /> Square P o 9��revdenl�al new construction, �emodel or additwn) <br /> Descriplion ol WorA lo Oe Done. '� ^r�� e �� r P r�a � � • <br /> � I <br /> NOTE WIRING IN NON-DWEILINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. [- C�C! <br /> ..� ..� — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 — <br /> I herohy cr.rtity thaf I have ro�d arrJ exernined(his npplicafron and know(he st�me fo be true and <br /> conucl All prows�uns o!laws arrd urdinancr.s govcrniny Ih�s type o!work wdl be canplefed <br /> whoB�er spera6nd hepmm or��nl �he��antmq ol r�pr:rmrt doris no(presume(o grve outhonty fo � ( .j��``l - ' � � <br /> peifor r�nr rnoC!r.on(ruciion��Thal I�am aPlhonzed Dy thv owno9o%Ihi�UroPerty to pe�orrn the �� '� <br /> Wurk lor rvluch nppin:enun is maJtl entl I comply witli ffw S(u!c Gontraclors Lew 18 2� RGW and <br /> 296 70u WAC <br /> �-� ",y,���„� � ��--- a�ao -i � <br /> a,� <br />