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� <br /> ELECTRICAL PERMIT i4PPLIC�4TION , � .` � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 7 --a3 -og <br /> — APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� <br /> 1y�� 9�7 --09 <br /> =� 002 � ( , �✓-C, <br /> PROJECT ADDRESS <br /> li I� _ !/L)/,�Gf r�l <br /> Owner Ma'�ddrass City Slale2ip Phone <br /> _C'�, cu9a T�/< <br /> Tenant � Mail Address Cily State/Zlp Phonc <br /> � �r, � �� ���9G,��«�»-- r,���� Gr/,� 0�3 <br /> EYeclncal Corl�fa of Mail Address Cily Slale/Zip Phone <br /> ^ yzs-._�z3 - 79aa Zoc -93o-G SS� <br /> f��i.`C '�������JL �/�`Jl�� �//n , G Zl!J <br /> Slalo License Number ConUacl�ice of Work <br /> Proposed Use of�uilding Conlact Person (Plan Roviow) <br /> Oescriplion ot Work lo Oo Dono: �j����`�_�, � ��� <br /> � <br /> � <br /> /�� ,�r°� �� r , <br /> c�e-e�� �r�-� _/� cr'>7 S.�� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 13E IN RACEWAYS, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certily fhot 1 have read and exnmined this applico(ion and know the sarno to be fruo and ��C� ��,�f � <br /> con�ecL All provisions o/faws and o�dinances c�overtuny lhis type o!work will be cornpleted <br /> �rhether speafieA herein or noL The gran�ing oI e pennd does nof presurne fo git�e aufhonty to <br /> I� violafe o�cancel fhe Provisiens o(�ny olher sfafo or localla�r regulafing cons(ruction orfhe <br /> pe�fomrance of construcfion. Thnt 1 am eufhonzed by the onner ollhis property fo perfonn the <br /> n�ork lor H�hich 2pplication is firode and 1 comply n�ith the Sf�!e Confracrors Law 18.27 RClvand <br /> 29G.2UU 11�1C. i <br /> � <br /> f ��� <br /> / � <br /> ��� .7/3 0�, <br /> S�iB�a�ure' Date <br /> I <br />