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. �_: . <br /> ELECTRICA� PERMIT: APPLIC'A� ION <br /> CITY OF EVERETT PERMIT SERVICES `S-0 .� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa,org L D�D l—a�y <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> `,S' 31 E�u�r�eeh wlo�,v E►�u�ct� �✓4, 4p2c�y <br /> PROJECT ADDRES� <br /> o c rl Re,�,o� �3/ :6►ne/�tf' wc� Y � <br /> /'' <br /> ONrtlef �MellAtldreas` 'Clry; Stale/Zip, ' ";'•Phone <br /> � ,' SL 3 I v w � . _a"/s-zoo/ <br /> Tenent Mell Addrens Clty Stete2lp Phone <br /> , y .��Jes�n 'vu,��- w�. 9'p�a.o ws- � <br /> Elec caI Contrector Mell Address Clty Btele2lp Phone <br /> Brfr�r �VCO �Gr`� � . <br /> 3tete L�ense Number Contrect PAce of W rk <br /> (Zat+.r 1 ,. . Kr� v�►. •, 5 <br /> Proposed Use of Building Contect Pereon (PI n Revlew) <br /> Descripllon of Work to Be Done: �/�M.fif p0 v�Ca!' 70 ��O Il A�" 7,'.MQ, OT- //►S rq l� <br /> I <br /> � <br /> NOTE: WIRING IN NON-DWELLINOS IS REQUIREO TG FEE <br /> BE IN RACEWAYS, MC OR AC CABCE. <br /> CITY OF EVERE'TT LOCAL 9ALES TAX CODE IS 3106 <br /> 1 here6y certIfy Ihet 1 have read end exemined fhls eppllcetlon end know the same fo bp frue and <br /> correcf. All proNslons of lews on�ordlnences goveminp this tvpe o�f work wlll be completed � 1 �-O�y <br /> whefhef sp�3clfled hereln or not. he granfing o(e pemi7f doe6 nof reaume fo glve eufhodry fo C5� <br /> vlolele or�;;�ncei fhe provlslons o eny efner stete or focal 1aw repuleting construcflon or fhe <br /> peAormence of constructlon. Thet 1 am aufhorized by Ihe owner o/this properfy fo perform fhe <br /> work for whl�eppllcaflon Is mede end 1 comply wlth fhe Sfafe Contrac(ors Law 1B.27 RCW end <br /> 296.200 WA . � <br /> . � � ` � <br /> � <br /> � � � �!�, <br /> V�'I!� <br /> qn lute� � a o <br /> � <br /> � <br /> . . I <br />