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ELECTRICAL PERMIT APPLI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 cj.Z3-�8 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org ���pp9��3] <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3003 l J Ca�S i n o 2c\ ��IS - 3�`1 �,.c.e-t}-, wA q � 7-►3 <br /> PROJECT ADDRESS <br /> (Absl�u.� co•,5'�.� ck�on> ��s3 ) <br /> �L,pein� �o. �c� 13oy. Z8U Q�tiyc..� wP wn, � 83 �� '-lyb-3y6� <br /> t - <br /> O•.vnBr Mall Addross Cily Slale/Zip Phone <br /> 3vu3 W CAS� C�u Qc� <br /> �oe�v�G- S�Per �.itw F�ere-H- l.�Ya q���3 N/A. <br /> Tenen� Mail Addross Ci�y Slale/Zip Phone <br /> Ca��) <br /> YHwcl�ono��ca V��\lx✓ �7i1 Oc+ro �+- A� S�� ScA�"L � wl� qR�OI� ��8•4�79 <br /> Electrical Contractor Mall Addross Ciiy S�aie2ip Phone <br /> l�V��,'D �Mr- 9�a I�F �/�✓�9 � `T U`l! <br /> Slete Liconse Number Conlracl Price al Work �y 2 S� <br /> Corn�� cc.� Y1/1o.,-k �(eb-S7o <br /> Proposed Use ol Building Contact Person (Plan eview) <br /> Description of Work to Oo Donc: QG[T ' �v W ✓ U ��A�p �`S'�Ar �^/�O� 0 17N�� <br /> �'hl<C � i7W VV�'In.� CO�i'o�f• <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO F[[ <br /> �E IN RACEWAYS, MC OR AC CA�LE. <br /> CITY OF EVERETT LOCAL SALES TAR CODE IS 9105 i <br /> I heroby certily fhaf I Irave read end examineA fhis applicafion nnA know fhe same fo 6e tn�e and <br /> conocf. All provisions ol laws nnd ordinnncos gaveming fhrs type ol woik wiA be completod <br /> wlruthor specilicd Irercin or noL Thv granfing ol a pomuf Aoes not presumo fo givo aufhority fo <br /> vinlafo o�r.ancel flre pmvisions ol nny othe�sfofo or IocFll lew rogulafing consWction or fho <br /> podorrnanco ol consfiur.fion. Th�f I nm auUiorizoAby fhe owner ol fh�s property fo peAorm fhn <br /> work lor whiclr npplication is made nnJ I comply wifh fho Stnfe Conhacfors Lnw 1817 RCW and <br /> 79fi.700 Wr1C. <br /> �\�� a�._,_�� 9 - 2 3 - o� <br /> . iyn;� mc �A 21..�1 �O ll Dale <br /> ta�o� - I � � <br />