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. � A'.1RVlil.l. Ifl.liC"I�NIC ���•�. OI)` <br /> 1 I U'; SIII '_' I I . ' 6 P:1S �I:Sii:4:45SS:SU <br /> ELLCTRlCAL PEP!�IIT APPLICATIaN <br /> CITY OF EV�RETT RERMIT SERVICES �� _ o5�-/z <br /> 3�00 CEQAR STREET, EVERETT, WA 98207 ��2�� --Od� <br /> 425-257-8810 - FAX 425-257-8857 -www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> __(a,�i(7 � H G 4L.�t' l�� L o 7� 2 <br /> P(ZOJECTADDRESS �}� 95,5 �B�D <br /> SfRrri.a� P� c�sc �ox�� I� SWE..�..� MaIIwR�roo \n/A �$�4� <br /> Owne� hlail Address City Slate2lp Phone <br /> Sr� � S !}SOJ� <br /> Tanant Mall Address City Slate2p Phone <br /> 4�S 335 766b <br /> � �n�s.� ���.�r �C.. -1,,+c. �40( SR�'� �..r���rEV�nlS W+� °I$�L'�'$ <br /> FlecMcal Contraclor Mail Addrass Gty Slale/Zip Phor.o <br /> 1l,� ft N LC�� � -1 � M b � �I.� 8(o °`' i <br /> Slato License Number Coh rac Prica of Work <br /> SF2 I <br /> Proposed Use of Building Contact Porson (Plan Raviaw) <br /> -� <br /> 2c`D � . <br /> Descriptlon ot Work to 6o Dane: 2 A..6 Gt,a� �S-b�� l j�, �� ��2 (�e�/� �`�T <br /> � Zl � - G�� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA�CODE IS 3105 <br /> I horeby certlly fhat I have reod end examined thls oppl�cation and knmv the same to be frue end <br /> cnrrocf. All provislons ollaws and ordinances govammp fhis typa o(work�vilf be completed <br /> whether specrfied horein or not Tho grantln,q o/a permit does nof rosumo fo glvo authonty to <br /> v(olafe or cancol tho proNsions oI any other stete or local law raguPting cor,strucGon or the <br /> peAormance oI constructicn. Thvf 1 am authorized 6y the otvr�e�o/fhis property to perform the <br /> work lar which appllcetion!s made and 1 comply�5",fh the Sfele Controctors Law 18.27 RCW and <br /> 296.200 WAC. <br /> \ <br /> i <br /> C�.-��-- �t�+-�-- 1� 1�012 <br /> ��gnawro af� <br /> -,� �:�. <br /> _, ..- <br /> - .. ..: <br /> �r��., �z - <br /> e . <br /> ,...l:_ <br /> .. :ra :s, <br /> ; <br /> y � <br />