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ovizaizoos Txu ia� so rax 2063zn 21a �ooi/cot <br /> I,�-Se � -�' C:tC�+l_' ��, ln-�6 C�)�f.3iv• 5 a �/ <br /> I <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657-www.everettwa.org � � a S"� <br /> APPLICATIONS ARE AC�EPTED FROM 8 AM TO 4 PM C� l����DI <br /> � 'Lq24- (�l��si-t�wF S� � Eve.+--e }�- (i82n1 <br /> PROJEL`T ADDRESS <br /> 25 — <br /> 14,JIer S�'-f�pi.�.y Po /�ox ��o�'� Sca-�l-c�- �A �a�iq o��' - <br /> Ownel Mall AdAress Ciy Slate/Zlp P�one <br /> rJ�'�n.It- ca-S otiJhn-r <br /> TOnBnt MallAddress City Stete2lp PMne <br /> �b ' <br /> �V�l�-rtnqiz�h /h1a.�n� l?s'� S . S�4c5� Sen.�i-t�- WA �i8144- 3'7.8•32�,2�, <br /> Eleclricel ConVaclor MailAEdress CI1y State2lp P�one <br /> lSJ/-�s 1-� 1 A-1 28'Zc?� �� . �'{'• a� <br /> Statc Licenso Number ContraG Price of Work <br /> I�^ �JtiiP� C S�tit3� <br /> Proposed Use of Ouilding Contact Perso� (Plan Review) <br /> DesGiplion o(Work lo Be Done: I��IQ-f'�7�Dh '�'� �"� S mp1u1, � �"Q- n��u�'-� <br /> �l.�(,l S Ir�f�rA� pi..e ln or n � S•-�-�'pbe � �►� r.e/vLo{� CU�s�e<.ncl�T <br /> Uv�- ��F� <br /> NOT[: WIRING IN NON•DW[LLINGS IS REOUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I horoby coRily fhaf I huvo road end oxuminod fhis epplication and know fhe same lo be hue and <br /> corrocL All piovisions olldws and ordinances governmg this fype ol u�ork will be complefed <br /> whefher spocihed horein or nof Tho prantinp ol a parmR does nofp�esume fo pive auMonty fo <br /> vio�a(e or cancel fhe p�ovisions ol uny other sfafe or locel law regulafing conshuchon or fhe <br /> peAormnnce ol construction. 7/rot I am nuthonred by the o�vner ol(hisp roperty(o pedorm the <br /> wnrk Iar wbich applicalion is made end I comply wifh the Stefa Cantrac(ors Law 19.27 RCW and <br /> 796.200 WAC. <br /> �U�f,� ��t'-��x� �i/a�l-1�q <br /> sa��a eie <br /> ��7`I U�j 10� I <br />