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HUIi—l3—U4 hKl 1U�4'L H(1 tVtlt�'I'I' I'tK%I'I' SERVICES FAX N0. 425 257 8857 P. Ol <br /> r- <br /> --- . � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES o _ ��� � <br /> 3200 CEDAR STREET, EVERETf, WA 98201 � � <br /> 425-257-8810 - FAX 425-257-8857—Www.everetlwa.org E07/O�'p7 S <br /> APPI.ICA'fIONS ARE ACCEPTED FROM 8 AM 70 4 PM -�EBIT 8� CREDR CARDS ARE NOT ACCEPTED <br /> 16 a�+— <br /> 11� Nr-N�T ���E <br /> PROJEC7 AbD�ES'S <br /> Owner `� Mall Aaaress City Staw,2lp Phone <br /> y2� <br /> a'Mrw c�� fliuo'�c4 IG•�� ilLt��i �i✓E �u�le� !✓a- ff7�`i 2s`7- ��32- <br /> Tenanl MailAddress Gry SWte/Zp Phone <br /> �rr+�w,wA <br /> T �r-�Ty $Ea.v�c.es fIKz�F r3�2n�cw�y N �io5 �1��� 4is��F�S 5'v!ti <br /> EleclriCal Contractor M�ii Addro.c City Statn/Zfp Phono <br /> (�,TSESi(D32o� �-25-O��,Fa. �/bao o� <br /> State Llcensa Number Contrad Priee of Wuric <br /> !�y}N1� Qe/�, �ck liZ- 3}� •��64 <br /> Proposetl Use u(euilding Contact Person (Plan Reviaw) <br /> Ocscription ot Work to 00�ona: �D � f-Kr S P� � ��� ��?�T`J S`�y 7��"� <br /> NO'I'E: WIRING IN NON-DWELLINGS IS RE�UIRE� TO FEE <br /> 8E IN RACEWAYS, MC oR AC CABLE, <br /> CITY OF EVERE77 LOCAL SALES TAl(COOE IS 3705 <br /> 1 h�,u6y ccrJi(y ihaf l ltave read ond oxamfnetl th/s applkation and know fhe seme ro be fruV and <br /> cun ecf, Alf provisionc of laws and ordinences gavemmQ fhls type o1 wwk wiN ba con,pleted <br /> whether sNec,fietl l•e�ein ar nat. The grentlng of e ermd does not rosume to glw aufhonty!o <br /> vio�afo or cance!th �provis(on.;ol any other stefe�r focal l�w raguPting conrGucNon or the <br /> padormance o/cnn,�rucflon, Thnt 1��m eufhoNied 6y the ownel ol lhisp rapaty t ps�{orr�Ne <br /> wnrk for whicA appllcatlon!s madc�nd!compfy with fhe Sfafa Contrectors Law i�8.27 RGW and <br /> 236.200 WAC. • <br /> _+E'���c�-� �0.� S G'}'_ <br /> �i�n�lura , Oote <br /> �o� �v�o�s <br />