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, -)-�7 ,;�; <br /> ,..- :�_:^ � . . .. � - -_�:-.�._.... . ._. . . <br /> y__ -- ._ ,�t,.._ .�..._,_.. ..__ . -- _ . .._: _/�7i.9�. . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMiT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX A25-257-8P37 -www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED Ft20M e AM TO 4 PM <br /> `�D •3(o ('� �///, �' <br /> PROJECT ADDRESS <br /> I <br /> �D•&�x 3 70� ��'.�Q,Z�l�� lt�y �i�/.���.�o? -�5-.35/��i�i <br /> Ovvner htaii Aedress Ciry S�ate2ip ?hme <br /> Tenant Mail Address City StateiLp Phor.a <br /> x ����'� .1�� � � �Y��o �vs�1 92a7s ��-�'-a3�a_�l 2� I <br /> tiecmcai c;ontractor Maii Addross G.y p Phone <br /> . }�' �a5-a� -a�i/ <br /> �E � �98�v � �-�, � � <br /> State License Number ConVact Prite of or�V k`- <br /> y n._ � <br /> dslXGC- <br /> Proposed Use ot Bui ding � , Contact Person (plan Review) <br /> Deaeription ot�Nork to De Done: � 9. . .. ^^�/j/ iB /1d��4 ,_, <br /> NOTE: WIP,ING IN NON-DWELLING3 19 REQUIfiED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 9�. 7� <br /> CITY OF EVERETT LOCAL SALES TAX CODE�S 3�05 <br /> i hero6y ee4�y thai i na�c�eed ano examMed Nis appecauon and know the same to 6e tn�e and <br /> conect. A.'l pro�rslons of laws and ordinanqes goveming Mrs rype nl work will be completed <br /> whefher specited he�ain cr not. The granUng ol a permd doas not �esume to glve authorrty to I <br /> v�olate orcanCel fhe proviaicns olany ofherstata cr/eca/law reQuPting r.nncfnm7inn nr the <br /> pedvrmanca c�construcuon. i nat!am aa4honzed by fhe owner o/fhls �roperty to peAomr the <br /> work ler wnich applicaticn is mede and I compty with the State Ccntradors Law iR.27 RCW end � � <br /> 296,P00 WAC. <br /> �� Ja �i-o� C� , o - ► <br /> " neture Jate � � <br /> . -'..�. �._. <br /> . . .. .,. ....._. _ ....7.q.�.. <br /> 60/D0 39Vd NOI1�f12115N0� �C'J3N39 TZLL99Z9Lb ie:tt 900Z/LZ/OT <br />