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ELECTRtCAL PERMIT AP'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES y 6 Og <br /> 3200 CEDAR STREET, EVERETT, WA 98201 " " <br /> 425-257-8810 - FAX 425-257-8857- www.everettwa.org �g0(�_.()/3 <br /> APPIJCATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br /> R�30 �i,t�s-arr�n l�a,u , S�rf <br /> PROJECT ADDRESS <br /> Oxmer Meil Addreee City StateRip Phone <br /> (o/�%a!3-59� <br /> . 1 P 1ora.��u,�C,s� /��,t/� iiii �oia�-'a / r .�'l r�,.oif H�� <br /> Tenant hlailAddrcu City Sfatc2ry Phonc <br /> aad-7�s��as.z <br /> F�°ro r�'�a! �t�°r��sl�ixs 3Ga3 E�yl��o„ra,(klac,S PQ�fk/,fJr�9'�/3� <br /> Electri ontradol Mail Addreea Ciry SlatdZip Phone <br /> �VEIZ(��5950 [3E �3�i.90�G.� <br /> State License Number ConVad rice o(Work <br /> �a,y�-�. � �r�/�x.c ao�-7�9-033� <br /> Proposed Use of Buildinp Con�reon (Plan Review) <br /> Desuiption of Wark ro Be Done: Y�1(.L��7G ��/�7�Q(� �X�,T�7'/(/ G�L�L��YILjeL/' 'faY <br /> ��/(r°v l/NPS % -�urnrFu�.SuS�/inr J IY._/G�2�Z f� �e15�iu,' <br /> lr y�(Jf.S <br /> J <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certity fhet I heve reed end exammed fhis epplicafion and know fhe seme fo be true and <br /> correcL All provisions ol laws and ordinances govemrng this type ol work wiG be completed <br /> whether speci(ed herein or nof. The granting of e perm�t dces not presume to give authonty to <br /> violote orcencel fhe provisions o!any other stete or locellaw regulefing consfrudion or tbe <br /> pedormance alcronstruction. That 1 um eufhorized by the owner olthis property fo peAorm the <br /> work lor N hich epplicetion is made end I comply wifh fhe Sfate Conhecfors Law iB.27 RCW and <br /> 296.200 WAC. <br /> �..1�� �.�� 3 - 9 -�� <br /> �mro Dato <br /> F�G�-Olj <br />