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� - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREI7, WA 98201 <br /> 425-257-9810 - F/U:425-25?-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 300'3 v.�. CAswo 12A � got �N(� tlo- 4 3 431, �w <br /> PROJECT ADDRESS <br /> f`x.,x <br /> ��r�S Co �'� 310� 5e��4�-l� w�A �ISIz'i <br /> Owner Mall Address City Stetel/Jp Phone <br /> Tenenl Mall Addreee Clty Sletaf/Jp Phone <br /> `153-3so'ozo�} <br /> ��AT{Zp1J�CS t-`b BoX 1�3� �vt3uk�.1 .N � 4R011 253939 (nOfoO <br /> Eleclllcal Conhector Mall Addrese Clry Slele2lp Phone <br /> SEATRI�` IZZSA � '�$0 I, o-cr <br /> Stete Licensa Number Contrect Price of Work <br /> o ���cA. � b�-Qti1c �+u� �Slr S �NY Dex��c�� 2s3 3go ozo4 <br /> Proposed Use of Building Contact Penon (Plen Revlew) <br /> Descripllon of Work to Bo Done: �1 f F- ��A(m �51�� �� ��� p'�u" ��1�� S; <br /> �— F��e Abc„-. �n� �} 5v�+ok2 ,O.c�ec��5 y — nnqhuaY S�a�1o�1 <br /> 2 - S�olxS �\ �o�� - >�obe5 <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3106 �`W g. I�,� <br /> I here6y cert(/y fhat 1 have reed end exemined fhls eppllcaflon end know fhe same to be frue end <br /> corroct. All provlslons ollaws end ordlnancas goveminq fhls type of work will be complefed <br /> whether specllled hereln or not The grenNng ol a pemuf does nof presume fo glve eufhorlty fo <br /> vlolefe or cancel fhe provlslons ol eny ofher stafe or local lew repuleting consfruc(lon or fho <br /> perlormance ol construcflon. Thaf 1 am eufhorized by fhe owner o/fhls property to perlomi fhe <br /> wurk lor whlch appllcetlon!s made and 1 comply wifh fhe Sfate Confrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� �,N � ' �.�- 201 0 <br /> Slpn e ete <br />