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r <br /> ,_._ � . �. ... ,..�..:.-�---- - -_ - ' " -- <br /> - - - • . .�.�:"'�+";::,;.-� �"�-�--�.` i�Z5�.�99 '`=o' <br /> -_, .,. .�.�. . :..-. . _ <br /> � - --- �.'' .. . _ . `� . <br /> - _ _ -�eT..' " <br /> � <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY 0� EVERETT PERMIT SERVICES I <br /> 32G0 CEDAR STREEI, tVtHt I-I, WA 58201 <br /> 425-257-8810 - FAX 425•257-8857—www.everettwa.nrg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -� �_ � �;a�_ <br /> PROJECT ADDRESS <br /> Po.�x 3 �o� ��� w�9 r�i�s���o� ���-,3�a a�� <br /> Ov/nef Mai�.AOC�iss G.y Stete2iD Phone <br /> I7enant --- 61nd 41Arrss ---- � City Snto2P fAoro <br /> � ,�rJ.�: ���'�/�o w� 98a7s ',�.��6��5� <br /> ElacViwlConlraWor tiu�i.�ac�caa C�M Su�ric Phnnc <br /> ('�r,u�2�c98�oz_ � o��c7 <br /> S4le Licrose Number Contrsd Pn of Work <br /> ProposeC Use of Bwlding ConWCI Gerson (Plan Revlew) � <br /> L_ � � �, ,,0 �� <br /> pn¢rip�in�nf Wnrk tn Rn C1nnn: �(J'�(�((L!!(/�.�C!l�Ld���� " <br /> ----- c� D�1� f14G.;��lf�1�� �f��^�" <br /> NOTE: WIRING IN NON�DW ELLINGS ;S RE�UIRED TO �E <br />'� BE IN RACEWAYS, MG OR AC GAHLE. ��O 00 <br /> CIN OF EVERETT LOCAL SALES TAX GODB IS ]100 <br /> I h�r�C eurt�h�fhat I Mr���ad end erem�nM th�s nPN�rwfinn nnd knew Mn.eamn fn Aa fruo xnd <br /> corrocr ali provis�ons of�aws and o�dinances govom�ng this ry�pe ol work will be completed <br /> whdhlrSpeafleAherein nrnof. The gnnG•+g 6/a pertnrt does not pre:ume io pwe auMonYy ro <br /> violate or cancel fhe��ovlslonS o!eny other stete or IOCaI law reyulaGnp wnstructlon or M� <br /> perlorme�ce ol%ons ivct�on. That I cm a�9h:riznd by th�owner o�N�sp/Ope/fy ta pul(O�/n fh+ _ <br /> wo�k lor wh�ch applke0on is rt,r�de ar1 '�cmp!y wiM tAe State ConVac��rs L8w 7827RCW ar tl <br /> T96.700 WAQ . � '� � � � _� . . <br /> _ �% <br /> ` / <br /> __�y���"7�1L2�/1�Y�iL °3 �� - �... . .. "_._�."c..�-�. -• - <br /> S naNn <br /> . . , . ...�. ' •- ._..':.a . . ,-.. .. ..._:: .. :.y�:� _ . .. � <br /> .. - . � . T.1F�'.y�l\1-. . • .�1:�:� T�Y 1 _ ,t�: J 1,.�. ' .��^�Y�YT��� v <br /> �����- <br /> . •�.�1 `. . ' r{•��� i��.a4��n�.�. <br /> ZOi�O 39vd .. . ',_.- --�r�JJ �hJ3r�39 .y. .+ ,•ITLZ99�SLh Th:80 900Z/bi/EO <br />