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o•� zx sot� ta :>a r:�s 42513:i79J0 ��:��t�ri.i. �:i.r•:craic �ooa oo� <br /> � � <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8&10 - FAX 425-257-8857 — www.everethva.org <br /> IAPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> a � o� -�� iv,., s� ,� }G< <br /> PROJECT qDDRESS <br /> Ck"Pa;.{� 1/c� �n�r�-r�,(L- 1 �vx � �`.�'� li':,ctkSl'!�� `r/U�- �l'Ys7� ���L �1�`t Si3 ) <br /> Owner btai�ntltlross -� �,ry Sta�crz�p Fhor.e <br /> T9nanl Mali Addrpss <br /> ��N Slaro2ip Phono <br /> j��.��r�_�crnc� �o�s s..�z �tc ;i,�.,..,,; i�rr �i���� y?s'33s ��,� <br /> Elecvical Contractor btall Aadreu Ciry State2lp rhone <br /> 1,�}�9vF,�cy a �f��'!G' _-1�—`j'Op <br /> Stato l�cense N�mber Contract Prico of Work <br /> s rr <br /> Proposed Use ot Buildinp Contact Person (Plan Rovlow) <br /> Descrip:ion ol Work to Bo Dono: QQ ' �04,te' f L. (�� � �n{;;�{.. V�L� Q (c'C 7Y� cat/ <br /> W�V��1[ IN c • ���' `�TLhll��� .�_� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC UR AC CABLE ���D <br /> CITY OF EVERETT LOCAL SALES TAX CODE 13 3105 ' <br /> 1 horeby r.ortqy tha(I hovo reod and exeminad(his oppllcaflen and kr,cw(ho samo fo bo fro�and �� ..� <br /> corrocL All prpvisionS o(/aws end ordlnoncos governmg this typo o/�vork will be comp/0fod <br /> whnther spoci�ed hereln or noL The granting o(e pormd doos nofp rosurne to ylvo author�ty fo <br /> vio/atv or��ncol(he ProNsions of any other state orlacaf luw regul�Lng construdron or tho <br /> pa�`onnoneo o(eonsiruefia�. Thef 1 am aufhorkod by:he ownorof fhls PropeRy fo pe�donn tho r�/�� z �( <br /> �rork lor �vh1Ui oppl;caclon is mude and!ccmply wifh fha Stafa Contr��ctors Law f 8.27 RCIN end L V �� ✓�Z� ��'i- <br /> 296.200 WAC. � <br /> 3 � �v�3 <br /> Slgnaturo � Dale ' <br /> --� <br />