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/yo-�o95 �l-o� <br />ELECTRIGAL PERMIT APPLICA710N <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 AR = ACCEPTED FROM 0 AM TO 4 PM - DE81T & CREDIT CARDS ARE NOT ACCEPTED <br />�-z25 t1�`(1— �4d� <br />PROJECT ADDRESS <br />Owner MailAdaress Ci1y State/Lp Phone <br />�,ea.1 wnsmNETo � 5uns $ 4� 3 � } <br />M�D�cm— G�ouP `f22� tk7{T At1E �V6aeT Wf4- Y£57A� bD25 <br />Tenant Mail Addmss Ciry Stale/Zip Phone <br />Electrical <br />r,1atl ndaress <br />�lOI SC— � �320 � qc� y�z r�vs— <br />State License Number <br />Proposed Use of Building <br />Gly <br />� �ics <br />�L 7 <br />State/Zip Phone <br />y�s--Yb� -5z�lq <br />�I 5 i7'= <br />CoNract Price of Work <br />Gontact Person (Plan Review) <br />Descnp�ionofWork�oBeDone: ��D n.tonoa DE7'F3-'ibz �a F,te�ST��� ��-u�Ty <br />sysrot1 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN f2ACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi/y fhaf 1 have mad and examined fhis app6cation and know fhe same fo be true and <br />mirec �. All provisfons o/laws and ordinances goveming fhis fype ol work will Ge complefed <br />�rhether speciGed herein or noL The granfing o! a permd does not presume ro give aufhority fo <br />v�olafe or cancel the provisions o/ any ofher sfafe or local law regulafing consWcfion or fhe <br />perlormance o/ cons(ruc6on. Tha71 am authonzed by fhe owner ol Ihis property to pedomi the <br />wu�k /or which application is made and I comply wilh fhe Sfa(e Contracfors Law 1b.27 RCW and <br />296200 WAC. <br />i �O j <br />FEE <br />� <br />.'�� <br />