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� <br /> !l3/25/Yu10 116:48 4Y54085288 Pa6E fi1;01 <br /> ELECTRICAL P�RMIT APRLICATION <br /> CITY OF EVERET7 PERMIT SERVICES J —as�o <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX A25-257-4057—�w�nv.everett�va.org ��pd j�j.� <br /> _/ <br /> APPLICATIONS AR[ACCEPTED FROM 8 AM TO 4 PM <br /> �}5�jl? E�/�P�R�.=te.1 w�1 <br /> PROJECTADDRESS <br /> 1�1�� {t4�'�G"� <br /> Ovmer , Mnii Atldre,s City SIale2ip ' Phone <br /> (h-I�t--SC P9�Jw 853o Ev�cF.c�1 cva-y £v��o' 9frcos <br /> TCOO�t MollAddrets Cily SI�lo21p Phone <br /> 2 s3 <br /> A�f a�-u��z�-r•�5a��«3 u�z4 r%� cPccuP�y d�vr fcal�-�. w°i- 9BUri ?.�T--�l�s� <br /> EleUncalContractor ld�llAedro;; Clry Stah2lp Phone <br /> ��\��i�3'lJ> �OD.oc1 <br /> State License Numher ConVact Price of Work <br /> �k- lN5i0E �� I�YL-�Y �?e.3 t�tx 7.s�.3}'�-1�U�4 <br /> Proposed Use Building Contact PeMon (Plan Revie.v) <br /> oescriptlonotworktoBeDone AnD I{au) 4� Bu1��� 1a E1trS7���' ����1 S'15� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. t;-�; ` <br /> �J <br /> CI7v ol=[VEREn LOCAL SALES TAX CODE IS a706 <br /> I hemby certily thpf I l�ave�eod�nd exomfnod thi,oppliafion and kno�v Iho same to 6o We and � ' <br /> corrrct. AIlprovisions011atvSa�dordinonCes,rovemingfmstypeof�wrk�vlAdqcompiotod , I _J <br /> �ehe;h^f epOCi6ad hB![J/1 a�nC2. ThU gr�qfipq ol o pCTid does/1JflJ�c5tlR10 lo grro(IUfhonty f0 ..J � <br /> v:e'ateo�enncoltheprovisionsotnnyc�her,(;.fooNoe�llawregu��fmgeCnGtruchonO�U10 J <br /> porform�nce of construcfion, th�t 1 am aufh,on:od 6y the o�ti�ner of Uiiw property Io per`orm fhe <br /> v.o;k fcr�r0ich nppfication i;mado and 7 comply�vifh the Sfalo Confrocfors La�v 1t3,27 RCW and <br /> 296200 LYAC. <br /> � _�C�s 3�2S�ia <br /> 5�namre Uate <br /> � <br />