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; <br />,� <br />EL��1 F�,1��1 F1i��ftRIT �PPLICATION <br />Ci'tY OF E'1!� ?E"f';!' :��_:;�,n;?' ;ERVICES <br />3200 CEGAR STREE'f, EVEi�ETT, V�+A 98201 <br />425-257-8810 - FAX 425-257-;iFf57 —�;aww.everettwa.org <br />APS�LICATIO��S Af:E ACCEPTED FROM 8 AM TO 4 PM <br />Z28 SW Evf28T lArFl� �.�Ay <br />PROJECT ADDRESS <br />OFr��r_ i�in;, luL 3 a� or�sd��� Cs„re 4n �$µruec�tl-lrs � Dk4 4UIZ <br />Owner MailAddress City State2ip Phone <br />���,�L�L Zzf3 sw Evr�.Ti'M��� l.�tif �vc,o�rr I.U�i q�6zo4 915�iy6 /C� <br />Tenanl Mail Address City StatelZip Phone <br />Uu, •��$L �t.c„nu�ea� ��,Box abH`t �Ren,uou,� Wh 95roT3 �v ss�� a�co <br />Elecirical Contrector Mail Address City StatelZip Phone <br />l�N�ur•�ISnt 4 K� <br />State License Number <br />Z�.1j0cil <br />Proposed Use ot Building <br />���� <br />Contract Price of Work <br />.�J�M %'^t�l.E2 <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �q�� g�x ��� zoNE Sa,�5a25 p n-���p (��NTRDI. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />1 he�eby ceAi(y that I havo read <br />correct. All provisions o/laws s <br />whether spec�fied horoin or not. <br />violate or cancel the pro :'ons <br />P ork foraWhl ch a onst� hon. T, <br />296.200 WAC. ��tion is me <br />this application and know Uie <br />governing this type of work w <br />� <br />3 to be (rue and <br />compfoted <br />ie authonty to <br />!ion or (he <br />o peAorm the <br />8.27 RCW and <br />FEE <br />