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� T <br /> ELECTRI�AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE i f,WA 98201 <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org /�_a7r.l� <br /> APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �f I'a _ '�� <br /> �(o ZCo bJ ��C/L:�Sl.l N/NY' <br /> PROJECT ADDRESS <br /> Nl,O�� <br /> �M.1 c.Y "71Q.�tS i <br /> Owner Mail Address Cily StalelZip Phone <br /> L.Y N N s o�s�-� �b LfP <br /> SbvTR� E7v4Raav.,�✓G 6��'�GR�4� A.�A,( �Cr`1-6-rr WY� `7�8Zo3 Zob-59-7-- 10 <br /> Tenant Nail Address City SlalelZip Phone <br /> � U/�i-t� C-+--b�7�l-rc�.T.,,vc P D. goJ� ��b ( S&a71�--� ni �1��-�061 <br /> Eleclrical Conh'aclor Mail Address Cily Stale2ip Phone <br /> Zp4 -3(�3 -(`�Lo <br /> � � � � ��m� <br /> � �v tl z � :� i s 3 K �0 <br /> State License Number Conlrac Price of Work <br /> �l�� V� iY� <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Description o(Work to Be Done: <br /> I N s� �-� , o o A 3 P r�9s c� S� B PA,vc�z-l- <br /> NOTE: WIRING IN NON-DWELLINGS iS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceRily that 1 have read and examined this application and know the same l0 6e tnre and �I I(� — � I f-1 <br /> correct. All provisions o(laws and ordinances goveming fhis type o/work will be complefed `1 T <br /> whether speci/�ed herem or nof. The granting ol a permit does not resume to give authonly to <br /> violafe or cancel fhe provisions o(any ofher slafe orlocallaw reguPfing conslruc(ion or Ihe <br /> performance o(consfrucfion. That 1 am a��thonzed by fhe owr,erolthis property lo penorm the <br /> work lor wh�ch apphcalion is made and 1 comply wilh the Sfafe Confracfors Law 1827 RCW and <br /> 29610��� <br /> Z� �G� �u�- Zfl l� <br /> SipnaWra Date <br />