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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERM17 SERVICES y, � ��_ o � <br /> 3200 CEDAR STREET, EVERETT,WA 98207 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org ��O �0 9 -�3� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3003 W Cras i n o 2a\ �'�Is - 3� ; ��L,e�i-}-, wA `� 51 �-►j <br /> PROJECT ADDRESS <br /> (Q� Sl�tur Cor�S�ivC� �on> ��`;3 � <br /> �c'_�.1ai �o• 1�t� `io� Zf3u Q�bc.�.Qu,� wA `1�3�� 4�lb-3y63 <br /> O�vner � Meil AdAross Clty Slate2ip Phone <br /> 3ov3 W Cas� l�o � <br /> ��e�►-�c,— SU�¢r L•c�v ,f�e.-e-tt� l✓V� q�] ��3 N/A. <br /> TCnenf Mail Addross City Slate2ip Phone <br /> Cau�) <br /> Yyo.c1�. o na��c� W�,\l�w �7 i-1 O�i-, o rf- /�v-� S�• St�.�L y w 1E `�R�ol� �d8-4�7 8 <br /> ElodtiCal CoNraclor Mnll Address City Slata/Zip Phone <br /> �'V�VI�Oon�r- ��a n� F �/�✓c�9 � 14�`ll <br /> State License Number Contract Pnco ol Work �y 2 S� <br /> cow�r�..-� c� I'1/lo..,rk K—1, � a7— �c�b�70 <br /> Proposed Uso of Building Contact Porson (Plan�view) <br /> Description of Work lo De Done: Qp CT ' �v W ✓ 0 �� ��S 7 A� �^/�(A 0�7N�� <br /> ���LS4. � �Ta VJ���tnR CO✓�iro�f• <br /> NOTE WIRING IN NON-DWELLINGS IS R[QUIRED TO FE� I <br /> DE IN RACEWAYS, MC OR AC CA6LE. I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> 1 hemby cortily fhaf 1 have reaA end exnmined Uiis npplicafion end know fhe seme fo be frue end <br /> correcf. Ni p•uv�s.cns o/laws nnd ordinancos gwcrnmg fhrs typo ol work will be complefcd � <br /> whofhor spoaned hwcin or noL Tho grnnting o!a pemuf does not presume to give euthority fo <br /> vrolefe o�canr.el tlre provisions ol any ofhw sfafe or locnl law myulafing consfrucfion or fho <br /> perforrnance o!conslrucfion. Thel 1 mm�ufhorircd by fhc rnvner ol fhis propetly to prAomi fhe <br /> wo�k lor whrch npplical�on is mede arrd I coniply wdh fhe tifafe Confracfors Lnw ifl27 RCW and <br /> 796.200 WAC. <br /> ��� c��,�� 9 - Z3- o� <br /> �';�,aiia uro 7n 2l_n �o LL �am �-> (�, <br /> ���Q ( - �_� � <br />