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� � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwe.org <br /> APPLICAl10NS ARE ACCEPTED FROM 8 AM YO 4 PM -DEBR&CREDIT CAR�S ARE NOT ACCEPTED <br /> 1t�y� 5 �' _ - — rn,a c.v,�-( �-�� a..cn � <br /> PROJECTAODRESS <br /> J�w�-v��>F L_a.e,��= <br /> Owner Meli Address Cily Slate2ip Phone <br /> �J-�t.JA`I�I�F L�1�NL SLtLf�il� <br /> Tenant MallAtltlross Clty S[ate2ip Phonc <br /> 31a�(�S I�7� <br /> ,���v�-� i �E �a�v smolSFv �f�-� trx� �uu�u[s7� <br /> Eledrica'Contractor A�a'�IACaress City Stak2lp Phone <br /> /f��2?/� i�'41?El2/C/�JV l,/DL�j� `�'S2oZ3�o <br /> State License Number Conlract Price of Work <br /> �'n s = -�- �n17,��LsS s �t�Qs ��-�2n dic��p� <br /> Proposed Use of Bullding " Contact Person (Plan Revlew) <br /> Descriplion of Work to Be Done: �'lU S 1 A L,L � a I�_1A?�S t..� Pi in,�OA? f TD 2� /l��7- <br /> ST�TF'�'vl4 W �'�"M r-1t�PK �'T'�oi�FS I�IUa �' uA--'r» <br /> R. . .� i c <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � t�8� <br /> CITY OF EJERETT LOCAL SALES TAX CODE IS 3105 <br /> !homby certify that I have rtrad and exemined this applicallon and knowlhe same!o be true and <br /> correa A!1 provisions oflaws and ort7lnenxs govsming this type of wwk wiil bo completed <br /> whetherspeci(ed herein ornot. The g2nting of a pertnit does notpresume to glve authority to <br /> vialafe orcancel the provisions of any othersfete orlocallaw rayWatlngpcons6uction or L4e <br /> work�oravh�sh app/c2Non�s�mad t end I c mp/y hhyme 3ta et Cwit ecronpLew 1 B 27 CR W and <br /> 295.200 WAO: <br /> : <br /> � � <br /> � � <br /> ����t'l-_. ��%//,�_.. o?- { -DS' <br /> /�,8fqnalure ale <br /> ✓ <br /> �c� � - 75 <br /> Z 'd 80BL- IS9-09E oa�c� uQoi�awy y��oN WH�E� TT 900Z ST 9�� � <br />