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B6/24/2088 06:03 4254885288 PAGE O1/01 <br /> � , <br /> ELECTRICAL PERMIT APIPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 6 -a��� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org G�O�D d//7 <br /> APPLICATIONS ARE ACCEPTED FROM II AM TO 4 PM <br /> '"�(v3c7 �vER-6R�e�1 W� <br /> PROJECT ADDRESS <br /> �,L� k�s��l ��y �n5��' 4�E�E r�la�s G�wc, w�- 4��! <br /> Owner MallAddress City Staietip Phone <br /> _ 1.�� �� F/f97i(�_ L��Q�7�� �/.�� L��r 70r,u� .�/� - �(iG Y' <br /> Tenanl tJailAtldrcss Giry Stsle/Zip Phonc <br /> 7 s3 <br /> R�i': r-�c-uc�zrm 5-m_�«3 u�tzyN. cr�P.�y ���rs- o:7f�i.� w��- 9Bu�� 3�-7--tft�� <br /> EleIXrical COntractOr Mail Aetlress City State/ZIp Phone <br /> 1h�7\5����iZIJS � .ZSOC7. OD <br /> State License Numher ConUact Price ot Work <br /> r.��3 ;�.X xs3.3�}-�-u�w <br /> Proposed Use of Building Contact Person {Plan Revlew) <br /> DeScription of Workto Ba Done: �!�J�L` L�Gl� Sysl�� �� CRftE�1S i � ���/ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE ' <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ciiv OF EVERETT LOCAI.SALES TAX CO�E IS 3105 <br /> 1 hemby certify that I have 2ed and oxamined this eppllcatlon and knmv the soma fo be Wo and <br /> conect. AN provi;ions ot laws and ordinances qoveming fh/s fype of work will be complefed <br /> whetherspeclRed heroin oroot. The gran6np oi a permd does notp rasume to give euthodry fo ^ <br /> violate or caneellhe provisrons o(any othersta,fe orlocalls�v regulsting construdion or the 1' I <br /> perlormance of constn�cffon. That I am aufhonzed by the o�vner o/thls ropariy to pedomi the y <br /> work Por which application is mede and I comply wlth!he State ContracPr;Law 9827 RCW and �� <br /> zss,zoa wnc. � <br /> ��—;.�-��--� �:Z y-od' ,C��� <br /> Signnture Uate � U <br />