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C ' <br /> ELECTRICAL PERN!!T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �� 7_�� <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org �I�� ��,p� <br /> APPLICATInNS ARE ACC_PTED FROM 8 AM TO 4 PM <br /> t1�'u� �v�r4reex�v�o-*�, 98ao�i <br /> PROJECT ADD SS <br /> N� � <br /> pyy�gf MeilMdrcas �Y �P P� <br /> ' �. �.�,��-t� �►��,a&w�raccsnv.� f��v�� vaPr 9Raoy <br /> ��.�.:� <br /> Tenant MailAdtlresc CHy . SbW�V Plane <br /> i <br /> ��,�o�.�,s�s�,�,�,���X lU�� n.,��c��p� � qso�a �as�94&�oti� <br /> Elearical Contractor �Mail Mdren: Ciy � ShoeflJp Phab <br /> �o�Vov595s oB �' 'l(X�� o D <br /> State License Number Contract Prica of WoAc <br /> �l�a�= ^ <br /> Proposed Use of Buikling Contact Peiaon lan Review) <br /> Descrip6on of Work to Be Done: �o�Mc�to �Li�`��'O�.'�'l(�Y1 O`�nr� �C9C'(1 S'fiC��L <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO F�E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I hereby cerfily that 1 have read and examined this application and know the same to be We and <br /> correct. All pmvisions of laws and adinencss yoveminq this type of worlc will Ds complstsd <br /> wheMer specified herein w not. fie yrsndnp ol a pertnR does not prosume fo plvs aufhority to <br /> vialate or cenoel fhe pro�s�i�fiat/am autl�an�byt�he��iv�r a Udi���p�rlam the <br /> perfomiance of consdu <br /> wak for which epplication is mede and 1 comply wAh the Stete Con Lew 18.27 RCW and )" <br /> 296.200 WAC. / I D � 713 (U <br /> V <br /> �,ti ���,.,� 91�It1 <br /> sw�awre � <br />