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� <br /> ELECTRICAL PERMIT APPLICATION <br /> GITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T. EVERETT, WA 96201 <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACGEPTED FROM s AM TO 4 PM <br /> Co <br /> PROJECT ADORESS <br /> G�ni'i S'h`r 7C%L�4�G 'L. ��,���r�- — ��cr '� w,/�__— _ <br /> �g� Mall Addre95 Clty Stil821p Phnne <br /> Tenant MailACnteu City Stale2ip (,�.Z�S.b�� <br /> �-�5+��f-e f���c..�i ya� � b I S�-�NG�y A�r I,,�. � �3� <br /> Eieetricai Contractor Mall Addresc c��y ��aeenro�Y.LZ 3 P� <br /> �} LL S j f �t�s � � Z �� ��aCY� �-� - <br /> Staie Lrcnnee Number Confiad Price of Work <br /> Propoaed Uee of DU1lding Cor�tact Perton (Plan Reviev� <br /> besaiptlon ot Woik to Be bone: ��� � n1 'U-U ��lV U'-ts�. i�w U a ��(�� ^� <br /> � i��l �a f ✓V1�- [_�'O ��� -- <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED 10 �E <br /> BE IN RACElNAYS, MC OR AC CADLE, <br /> cI7Y OF Ev[HET7'LOCnL SALES TAX COPE iS�105 <br /> cort»cf. Aipmvi�onsol/nwoendodinancedgovPmnrp�thstypP�vork�villbeemmplefed°nd <br /> �vhether spnr.rfieC hr.rrin or noL The granting o!a pormit dces notP resume fo 01ve aufhonty fo <br /> wnlato w cenr,ol the provlsuxis of ony other stnte or Ixal inw roou/eting cons•nicfion ai fhe <br /> pr.Anrman e of cCnetruU�nn. 7hat 1 am authon:ed by the o�t�ner ol this rope ,ry to perfomi the <br /> worx lor w�irr.h�ppli�.3tron is mntle ancl I compry�sifh fhe Stab Gaitroc�rs Law �A 27 RGw snU <br /> '..9G.200 wAC. <br /> nalu2 �--- ale <br /> �o� 04 - G��b <br /> : <br /> ? ' �6b1 ��fd �I�,!J3 �: :1H!:'11V ','YVo . ' o C:���, � , ,d <br />