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lO;OiiZ71: :IIU ]7:09 ::.% <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 — wti+nv.everetttva.org <br />APPLICA710NS ARE ACCEPTED PROM 8 AM TO 4 PM <br />u�.P2� �miP � <br />PROJECT ADDRCSS <br />� ��c�5� <br />n �,� i�� �.P <br />ij00L00] <br />Tenant <br />1f 1 ��LV'1 (.��1�[Q � <br />Electrical Contractot <br />imaress <br />ntan A7dress <br />� <br />'iL� <br />A'ail Address <br />��i ��� � ��� <br />Clnle L�ronce �li�mhor <br />�1(.1,� C�c�, ��i�F.d���/l <br />Proposed usc or liuticioy <br />� �,�7"1 �7 <br />bquaw�otar� iaential no�v conslruct n, remodel or adddion) <br />n ._ . . <br />Deouiy0uu uf Wwh lu Liu Dune. <br />NOT[: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BE IN F2l�C[WAYS, MC OR AC CA�LG, <br />City <br />City <br />CITY OF EVERETT LOCAL SALES TNC CODE I51105 <br />1 he�eby cerbly that I havo mad anA examfnod fhis appliwtion and Anow fho <br />co�rect. All pmviyons ol laws and cni�nancos govemm� tlus fype of work �s <br />whefhr.r specAicU neran or nof. The granLng o! a permrt does not presumo <br />�Jate or cancel f7ra provisrons ol any othor sfale or local lawregul.�vting ccn <br />erlomrance o/constn¢t�on. 7haf I am authonzed hy Ihe owner ot lh�s p�op <br />��orl�lor whi�h �pRlicalion is rnadc and I comply wrtlr 7hc S�ate Conlraduis L <br />......_.�.r <br />StalclZip <br />Conlro t f'noo o( Wodi <br />D�c��<`-�.n.�- <br />Contar, Person (Plan Review) <br />0 �U il(3 hUC dr�� <br />cornpleleA <br />0o authority to <br />rion or tne <br />'o pcAorm IhP <br />B. <7 RCW and <br />P�one <br />�_lUl1 �I ' � <br />F[[ <br />I��� ____� <br />E (2f 0 — 03� <br />