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t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257•8857-www.everettwa.org � `�'"�9 <br /> No9o�_00/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM <br /> ��t7'_� �nIGS (�P�itvo l`oc�o �1�� �I G.o�. <br /> PROJECTADDRESS <br /> ' Co. <br /> �Nr 1�u1:1�. _ � �7c �101 JC-r,�Tui �n/p `�nl2`�1 - ��ol <br /> Owner Mall Atldrese Cly Stele2lp pryo� <br /> �G �S�Y`.INJ �� <br /> Tenent MnilAtldress Clty State2lp p�� <br /> �-c��� ��Ou:�ni� Ct�'c=iniy `�-Icz� NW '�'t�"•-t �t � . <br /> EIecVIcalContractor ��b > ��' wD 4�117 ci'x 9�7-d1 � <br /> Mell Arldrese City Slele/Zip pha� <br /> FoY�NCSCo1T�Cl-1 �L/.5r' Ot�7 � <br /> Stete License Number Contracl Pr ol Work <br /> Proposed Use of Building Contad Pereon (Plan Reviaw) <br /> '� <br /> DescrlptionofWorktoBeDone: !_�[c��fZ�L�f-� IIC.M;�[� � :.� ���a - �� <br /> � <br /> � <br /> ._Xt c� ��'ci�(_ <br /> N07E: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE I$J106 <br /> I hero6y carti/y thaf I havo read and oxamined this applicnfion and know the same fo be frue and <br /> corrocl All provisions ollews end oMinancas govommg fhls rype ol xrork will be comoleted <br /> whefber speciBed heroin or noL The gronting ol o permd doas notp resume fo givo autbaity fo <br /> violateorcanceltha provisionsolanyofhersfafoorlocallawrogu/atingconstrucfionorfhe <br /> peAormance ol cnnsliuchon. That I em authonzod Ay the ownerol thisp roperty fo pedorm fhe <br /> work lor wbich npplicafion is ado and 1 compty with Ihe Sfate Controctors Law iB.27 RCW and <br /> 296200 WAC. <br /> �T� � r :•r � <br /> � eie <br /> C-�9a1 �l <br />