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1 <br /> N LY <br /> ` Y <br /> �� <br /> ELECTRICAL PERMIT APPLICATI°:�N <br /> CITY OF EVEf�ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 ��-a-7-`�J <br /> 4P5-257-8810 - FAX 425-257-8857—www.everettwa.org C�( ���� (� <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> �lo.�U G112✓qreG�_� .1-{'� .O <br /> PROJECTADDRESS � <br /> T i1G�0 0� GLi.r�O�n L�. yr5� P�.�U �t/Qiqreen U.�L� GU2r t�'E l.v� '7 dy�� Jr'��7��..7U <br /> Owner Ma�Address City Steta/'[Ip Phone <br /> `S�.r� a� Qbo✓e <br /> Tenant Mell Addrees City Stale!!Jp Phone <br /> �1e,r� � IlJ¢n�-ir 9�oz39� ��-c+sw L��-�.x>r�� C.�R 9�49� .LS3-Gz��yy6 <br /> ElectricelContrector MellAddress Cly Slete2lp Phone <br /> I�Nter�ri, vv��s u8 - 3I28/y <br /> Stete License Number Contract Price of Work <br /> Proposed Use of Buitding Contad Person (Plan Ftevlaw) <br /> DescripqonofWorktoBeDone: Tq5-�¢�l ,Z �Jq l( S;gns - hn��C. �'0 2Y�5-F}.v� ,Oouser <br /> NOTE: WIRING IN NON-DWELLINGG�S REQUIRED TO FEE <br /> BE IN RACEWAY3,MC O�i •. '.'�BIE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hereby ceni(y that 1 heve read and examfned thls applkallon and know the same ro be We and <br /> correct. All provislons of laws and orcllnances govemin9 thls rype of work wlll be complefed <br /> whefharspacrfied hereln or noL The granting bfa pertn7t doas notpresume to give aulhonty fo <br /> vlolafe orcarcel the provision�o� (apy other state orloc Ilaw regulet!psg pconstructlon or the <br /> wor�l�c for8wh c! h a�1/cahon�1 mede and I�rom�IZ w thYth�Sfa eeConbha/ctors I�.aw 18 27 RCW and <br /> 296.200 WAC. pp Py <br /> - , J� � � �.� �UB-/I� <br /> I ne Date <br /> � <br /> � <br />