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ng:���,a�?ooi 1� 5^ Fr.:'i �25 _5' H�:S' E'JEP.ETT PERNIi JE�'��ICES <br />ELEGTRICAL PE�tMIT APPLICATION <br />CITY OF EVERE'iT PERMIi SERVICES <br />3200 CEDAR STREET, EVERETT', WA 98201 <br />425-257-6810 - FAX 425-257-8857 — wHvd.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />3�GC� I-%ov�, �.le� �ve�r�-r�, �J�. 9�zc�� <br />PROJECT ADDRESS <br />� � I �i�3C��J,'1 L � I-iv� �JL. �Je.{e.iC� In��`1 <br />Owne� Idalllufdress City SIaG+JZip <br />Tenent <br />0 <br />Eloctriwl Controctcr <br />M3il Addtos5 <br />nL, 3� t D <br />M1fall AtlGress <br />Clty <br />� � P� NE A�r1; <br />Clty <br />l.E El-Cz�Oz�-E-k� <br />SWte Licensa Number <br />�� �1��� v�, �l�i��.<<�e=� <br />Proposod Uso of Duildin <br />Uescdpllon o` Work to Be Done• `�`rv l C,� L.liu <br />� i��C�O dO.Nz�e � I-io r�.e,o�J <br />�'_O r1 �G�C� <br />NO7E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />L�E IN RACEWAYS. MC OR AC CAFLE. <br />SWte1Lp <br />JA ,' <br />S�alol2ip <br />�8 �� ,.'� <br />Contract Price of Work <br />Cqntact Porson (Plan Review) <br />CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 <br />I hereDy r.ertify tYot ! hove reod and exsmined this apnlicntion and knoH• the san�a to be nue and <br />curTed. All provlclons of /aws and ordinances qovemmg th�s type ol wOrk w;ll be comple;ed <br />nhefhcr specJieq he�ein a not. Tl;e granting o/a pormrt doos nofProsuma fo nlve authoNty fo <br />vlolato or cnnr.el fh.e provisions o/ any other state or loca! law regu,afing conshucfion er rhu <br />wo�k or wh ch a�onlc�on�s m tle nnd l c m II �v'fhyihecSY�ife ConfrhirncPnPLnw iAF�7�k�lNand <br />296.200 WFl C. pp n y <br />�� "�'.k�l�-� ` ��G T �o �7 <br />�io<< <br />�EE <br />� <br />. �� <br />� �! ,. <br />�jnii7/�;iii <br />IJ <br />;- z�:>z- 2�82�' <br />Phcnn I <br />Phona— <br />�-���9-s3io <br />Pna�e <br />