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ELECTRiCAL 1'ERI�IIT APPLICATION <br /> CITY OF EVERcTT PERMiT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wwvr.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �-a_ _� <br /> � �-I C�Z SCG ��i�.C=�T /v� A l�t, 1��A'-� <br /> pRQ�FrT qnnpceg <br /> -�J n�1ak,< � k�z sC c�re�� e�r- N,aee c.,.,-. C��C-�£�i wIi <br /> Ownef MailAddress City State2p Phono <br /> ��"� M a-r.X ��t�Z S C- 6v C---e.E��' M,n c� v-in' G—vC--:-L.�-r �nrn <br /> Tenant Mall Address City Statn2ip Phono <br /> IVC-tN S'16�.i � J4krNlt�t(� �o�dJ�o V2SUl.A f�L 5 5c�.1TL4 W� �t�'(��ti- <br /> EIeGViealConhactof MailAddress City SWle/Zip Phone <br /> f\\�:C/��ISS/k �l J(v� � �l' `'JUO . C;C� <br /> Slalo License Num6ar Contract Pnce of Work <br /> 51�,��a ��L �11C,�- C;�A�• <br /> Froposed Usa of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> 'Z �UILD�n1G Stv.�S - cit,�.-.._.%� �,-e•� �/ LC-p <br /> 2 Gc��.,`.t�. r-1�rr`av- 5/F S'� �-iv Gr+-ra��..i ��s <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F[E <br /> BE IN RACEWAYS, MC OR AC CABLE. �:-- <br /> ���� <br /> �, _. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 51D5 <br /> I horeby certi(y that 1 heve rved end ezemined this epplicalion and kno�v the seme to ba huo end <br /> conecG All provisions of7ews and ord�nences goveming this type o/wodc tvill be completed <br /> �vhefher specified harein ornoL The granting of a permR does notp/esume to give euthonry to <br /> � violate or cencel the provisions of eny ofher staf3 orlocel law reguleting consWction ar the <br /> per(ormence o!consfruction. Thet I am eufh�nzed by the ownero/this property to pe�fomt the <br /> � work(or which appliwfion is mede and I compty with fhe Sfete Contracfors Lew 18.27 RCW and <br /> � 296.200 WAC. <br /> J�� M �ct , � , � lzzl� � <br /> Si Nro Dale �- _i .i �_%7� <br /> /L <br />