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� � � C <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �a-c�l -�p <br /> 3200 CEDAR STREET, EVERETT,WA 98201 ��rU�Z, _d�3 <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org <br /> pPPLICATIONS ARE AGCEPTED FROM 8 AM TO 4 PM <br /> 11114 Evergreen Way Ste B <br /> PROJECT ADDRESS <br /> Evergay Properties, LLC 2829 Rucker Ave,_P;verett, WA 425-339-3638 <br /> Oxmer M�IIAddress �MY �� �� <br /> Tax Services of America <br /> DBA Jackson Hewitt 11114 Evergreen Way Everett <br /> Tenent MallAddresa �HY �B�P P� <br /> American Neon, Inc 9402 39th Ave CT SW Lakewood, WA 253-627-7446 <br /> EledricalContrectof MellAddress �Y �e��P �� <br /> amerini002U8 � ��av <br /> � <br /> Stete License Number CoMract Priae oi Wo�C <br /> Tax services E�ISF� Jftc�y -Co�CfZ• <br /> Proposed Use of Buikling � Contad PeBon (Plan Review) <br /> Deecriptlon of Worfc to Be Done: (7C�Jl� ��t' �� �x�S/��G S��%''v �-1���� <br /> NOTE: WIRING IN NON-DVYELLINGS IS REQUIRED TO FEE <br /> BE IN RACI:WAYS,MC OR AC CABLE. <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3106 <br /> 1 hereby certi/y fhat 1 have read and examined fhls applicatbn and larow the same ro be We end ,h-l� t�'] —(,�3 <br /> cnnect. All provisions of laws and adinences poveminp fh(s rype oI wak wN/be comp/eted � L <br /> whalher specified hereln or rrot The grantlnp ot e perm7t does notpresume ro erve eua�odry ro <br /> violafe or cancel theprovisions of apy other stete or local law regulatlng conshuctton or fhe . <br /> perfortnanca of constn�qtbn. That 1 am aulhorfzed by the owner of fhlspro perry fo perlwm fhe <br /> wwk Por whtch applicaLon!s made and 1 c�ompN wifh the SYefe Conhadas Lew 18.27 n .W and <br /> 2 .200 WAC <br /> �.7'.2 '�� <br /> Signelu �� <br />