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r- <br /> I � <br /> Z0'd 1tl101 <br /> ELECTRICAL PERMIT ,APPLICATIAN <br /> CITY OF EVEREIT PERAAIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 86201 <br /> 425-257-8810 - FAX 42G257-8857-www.everettwa.org <br /> APPI.ICATIONS ARE ACCEPTED FROM B AM TO 4 PM -DEBIT 8 GREDI?CARDS ARE NOT AC�EPTED <br /> I��c� �n-�'�tl-E-�. ��x �1 D�a ff- <br /> PROJECT ADDRi55 M h s <br /> o� <br /> �iC+�o� �b�� ��f sc�, A�e �E r��sv�lie c��- x� ��5-a� <br /> OWner MaIIAtlOre�n Gty StatHLip Plqne <br /> Tenant NanAdtlress Ciry SiaWZip PMna <br /> N �� � S �q� <br /> ElectrialConinclof F1a�lAadrens Ciry SIek/Zip ( Phone <br /> 1��Ti.-���o�_� �r�.� <br /> Spta Llunca Numbar ConVecl PAce ot Work <br /> I <br /> ropwatl ae o u I ing Co�tacl Pareon (Plen Revlew) <br /> Desulptlon alNbrk to 8a�ane: �U �pQC� I�IT'Vl�� <br /> N07E� WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> I BE IN RACEWAYS,MC OR AG GABLE. �S. �� <br /> I cITY OF EVERE7T LOCAL SALfiS TAX CODE IS 3105 <br /> 1 bereby cert�'ry that!heve read and examined fNs eDP.�icaMon end know Ma�ame fo 6e hu!end <br /> canct. All proNslons ollews and adinancos 9ovamin thls rype olwork wi116a compleMU <br /> w.�ather sp UOatl horvin a not. 7�e 9�rtnng b!e pe. daes notp rosume lo plve auBronty t0 <br /> vwlate orcancel fhe prov(slona ot any nfhersfafs or local hw r�gulad'ng conshucbon orfha <br /> paAo�menceA)consWcdor.. fiof 1 e uthonYea Dy tAe owner olmis property ro peAoim the <br /> wark lor whic epp�plfon l�mede an I cpmply with Me StaM Canhactors Law 1827 RCW and <br /> 206.200 � <br /> ;�f - �' /� Iv- ) ���� <br /> etura s�e <br /> � O��LG�i-I �(C� <br /> ZC�Z�3'd Lb�Lt LSL �9� S7ctL DOl�Z-0£—d35 <br />