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�. ._ =1: v <br />ELECTRICAL PERIIIIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�c,,o SL E�•�z �c-r� P'IALL.. �..�A`{ `JT� 3aU1 <br />PROJECT ADDRESS <br />STF (.�.�- <br />i20Bcn�5o+� ��7crc�2C�ES SOU�..G. ��czE:rri/+�L.,Js�i E.�E.:6�c'i :.JA%96']C4.475 353-i�,4cn <br />OWner' Mail Address City Sta e/Zip Phone <br />b.� 8�� <br />4CE��c�2 w.���nNS S�Cj,[-.�Jctctf�`iH�L�.:N'� E�/{=�C-1'r t,;,:�A�96aOri N7s di�-3Cc�- <br />Tenanl Mail Address City State2ip Phone <br />801 <br />�'cACC��1��E��Nu2ST 'cLcc.�. ypp3JM�-FIHJE E.lEzGTT a..:)H1�t�5� 4�-ti•3���b3S'j <br />Eleclrical�Conlractor Mail Address City State/Zip Phone <br />i Y�+�3 <br />State License Number <br />(.or+r�EZUHL <br />Proposed Use of Buildin� <br />'a5� Go0 <br />Contracl Price of Work <br />Conlact Person (Plan Review) <br />DescriplionofWorkloBeDone: ��vsrF���.. �e�c-: /�ro� il��v� C-Hc��NG� N�� J7-�LKS <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he� '•� ��Kily that 1 have read and examined this <br />correcf. „ provisions of laws and oriinances gov <br />whefher specified herein or not The granting of a <br />violate or cance/ the provisions o( any otl�er state c <br />performence olconstruction. That 1 am authorizea <br />work Ior which applicafion !s made and 1 compty w� <br />296.200 WAC. <br />law <br />Signature Date <br />FEE <br />iow the same to be true and <br />�rork will be campleted <br />esume fo give authority fo <br />ing construction orthe <br />�is property fo peAorm the <br />3Cfors Law 18.27 RCW and <br />� p 7�,Z_�p I <br />