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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE'TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 G `"S`f 2 <br /> 425-257-8810 - FAX 425-25�-8857 -www.evereltwa.org C/a-pb �3 3/ <br /> ` I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -- -- �'�.� �4'�� <br /> ��3 Cyi9:�f/N:� �C f� c✓�/1.�TT C�sG S-A-�� <br /> PROJECT ADDRE:'S <br /> "�i�•.�� la _ <br /> OWne� M11�il�ddross City State/7ip Phono <br /> Tenant Aiail Address Cip• Slate2ip Phono <br /> /f��I.�..�c%r,� � ,�x799 ��q.��f�.// ��a 9�?�a ��6s8 osoi <br /> ElocUical Conlraclor Mail Address Cily Slale2ip Phone <br /> �oZGI'J °a <br /> ffirlE��/r o7lr�R — <br /> Slate Liconse Numbcr Conlract Price ol Work <br /> �i�H �ioc.F� <br /> Proposed Uso 01 Building Contar,t Person (Plan Roview) <br /> Descri�Nion of Work to�o Dono: /1 t� L ���. ��/1 V �O,YGS 2Eq ,�V�/�A/ � <br /> i NOTf-: WIRING IN iJON-DW[IUNGS IS REQUIRED TU FEE <br /> B[ IN RACEWAYS, MC OR AC CADLE. ��^ v� <br /> , 5 <br /> CITY OF EVERETT LOCAL SALES TAX CVDE IS 3105 <br /> 1 hernby rertify Ihat I l�ave rei�d nnd examinod fhis applicafion end kno�v fho semo to bo 6uo nnd � I ZO� �03 I <br /> conec(. tll!orovisions olla�rs anAordinances�overnu��Ihis fype o/�t�ork�+�ill6o comploteA <br /> whethor sprcilied hcrein or nof. Tho pr.infin�ol.+perrnd does not iesume fo givo aufhnrity fo <br /> violnfe ui cance�the �mvisions ol nny olher sfale or locul lew reguPfing consVucUon or fhe <br /> peAcminnco of cunsEuction. Thnf I nnt eufhoiized by fhn o�rne� o/lhis property to pr�/onn fhe <br /> �vo�k lor�vhich ap�iB��-:dion is mnUe anA 1 cony�ty tvifh Uie Sfate Confinctors La�v 1 Q.27 FCW enA <br /> 296.200 WAC. I <br /> � � � -.S- � Z- <br /> , a — - --- ----- <br /> _— — --- - <br /> ' ill�I ❑f(? I).l(P. <br />