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Sep 30 11 0825a thornton 360v324-6265 p.1 <br /> ( `_ <br /> r-- <br /> ELECTRtCAL PERMIT APPLICATION <br /> CITY OF EVEREIT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8657-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ? �Q i J�e�v � �-�- ��e . <br /> PROJECT ADDRESS <br /> l�b '���,.� lJ,�,���E l�fe I ����,�I- /��e �vere�-y�zC'I ��ti. yty-z:��)- ! �5 <br /> OWI1@f hlailAddt¢ss Cf�y SlatelZp Plq�e <br /> il l ( � � / 1 <br /> TPlldflt MailAddress Ciy S121eRfp Phone <br /> L I �,lv`11�n L����-utij ��o� �v`7 Qu�l�����n r.�.j• �/�Z3> ��l'�'�tl-�{lU� <br /> EleCtricalConlraCtor MailAdtlress Ciry StateRip Phore <br /> �lc�.TL yzz/�?S 3�co----- <br /> State License N�mber ConUact Pnce of Work <br /> C�rqil, �,�i�n�-) <br /> Proposed Use of Bmlding Contad Parson (Plan Review) <br /> oes«iption of wom to tje oone: f r C, ���-�vlC� �Lr�e h"r t' rjh /1C11'y S <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABIE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 j 7'~'•�U <br /> 'hereUy ceAily lhat I hove read and ex&mined this application end knowlhe same fo be frue and <br /> correct. Al!pravisrons olla�vs and ordrnances goveming fhis lype of wak wifl6e complefed <br /> �ahetherspecN�od herein orna. The grantrng of a permd does nof presume fo give au�hority to <br /> violate or Cance!the orovisions o(any other sfate a iocef le�v re,qulsUng consWction or the <br /> perlormanco o/can 'uctron. Thaf� thorized by the owner of lhis property to Ferfarm the (� <br /> viork`or which � tion is made�and 1 nply wiM fhe 51ate Conhscfors Latv 18.27 RCW and /I(� Q �1 <br /> 296.200 W�, �__ � / � <br /> / J --1 <br /> , l3n l <br /> SigneNr U3tE <br /> �,�� la� � ' �- �60 - � z1 'NI� �I <br /> �-Uf Gc"�(�' �i <br />