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42`.-:5?-16fi6 GN HEA7ItJG <br />28.SGam GS C8-201A :�d <br />ELECTRICAL PERMIT �PPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES � <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />A25-257-6810 - FAX 425-257-8857 — vNnv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRUM 0 AM TO 4 PM <br />�121 f-Iz'y f�I ��v I SZd 1_ <br />PROJECT ADD ESS <br />Ownor � <br />Tenant <br />_ . �, �� <br />Eleotriaal Ccntacicr <br />Q21 <br />Idall Address <br />!.1all Addiess <br />�Aall Addre�s <br />C�1'11ii�A1�1 i-I�iol (�ct <br />Slate llcense Num�or <br />Propwed Use of Bullding <br />� E� <br />Gty <br />City <br />Clty <br />gSZo I �Iz55o I <br />SIaIc/Zip <br />SlatclLp <br />jw � ��z� z:��l <br />sioi��z�P <br />Z� "� - <br />Contrecl Pnco cf Work <br />Conlatt Per,an �Plan Revievq <br />Pho�_ <br />P�one <br />Phona <br />Descriplion of Wo�k l0 8e �ono: � l�. G I GU I� � W� v�� �� r��t� <br />-�w �ii�, hv G �' .�ha rK.r� <br />.NOTE: WIRING IN NON-DWC�LINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC UR AC CABLE. <br />� CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 horaby certily fha( I have raatl ond axnmrnod this oppllca(ion and know fho samo !o be /iva and <br />- corroc(. All provfsions ofla�vs antl ordinancos qovemin� fhis fypo o( �vork wlll Go complefed <br />�vholharspoci(ud horoin or nol. The granling of a pmmd doos ncf pro�umo (o give eulhonty fo <br />vio(afoorcanccllho prvvlsionsafanyolhorsfeloorfocalla�vmgulalinycon;fruclronorlho <br />parfamianr.a or canslruction. Thaf I am euthanzod Ay fhe o�sncr a! thls rcperty lo podarm (ho <br />�vork (or u�hich npplicafion is modo and I comply wilh Iho Sfato ConlracPrs Law 1�.27 RCW and <br />' _ 296.200 WAC. <br />FEE <br />�oab <br />I �( 05 - O S � <br />