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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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> iiBoY H,yti�y 99 Ev�et� w,q 9g�oy <br /> PROJECT ADDRESS <br /> ��c,a. l7ev�lopne.ot �,2o N. B�'avroL Blvol 6�F/Wr (�/t�„da/�, �i9 9�.3'�3 <br /> Ovmer Mail Address Ciry State2ip !AY <br /> Sfa.-6Nok5 ��e. Co. ayoi u�ti �� S �£fce. w9 98/3y .�nb-3/9-/s7 <br /> Tenant Meil Address Ciry SWte21p Phane <br /> Ewi�� Eltcfcac rTv��. pD l3o>c �z38 Cd�+'/�rv�d5 u�A 98020 �lZS•778'3 3 <br /> [lectical Contractof MailAddress Ciry State2ip Phone <br /> �WzNGES5336G `� ly, 52.0 <br /> State License Num6er Contract Price of Work <br /> Co�z,� stiop E�'�Ic �'ovtnstw�. <br /> Proposed Use of Building Contac[Pnrson (Plan Review) <br /> Descrip6on of Wcrk to Be�one: l L'KRN L .LvKr�.�DliEIYl.P.i2� D c� t u�i rP. <br /> NOTE: WIRING IN NON-DWE�LINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> j �f � �'� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> I hereGy ceriily thnt I heve read end exemined this application and knoiv the same to be true end <br /> coirect. All provisions o(laws end ordinences goveminq this type of�vork wrll ba completed <br /> whether speci(ed herein or noL The granting o/a parmd does not presume fo give euthonry to <br /> v:oleteorcencelthe provisionso/enyotherstateorlocallawrec�uletingconsfnrotionorthe <br /> peAo�monce of construcNon. That I em authonzed by the ow��ar olfhis property to peAorm the <br /> work lor which application is made ond I comply witb fhe State Contrecfors Lew 18.27 RCW and <br /> 296.200 WAC. / � ,-" <br /> (/ � � l ✓ <br /> _ - S/�7�0 7 � <br /> s c��a —' �a:a <br />