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09.'Oi/Y008 IS: IA PAS 42513ii830 �'AR\IiI.L IiI.IiCTNIC Idj004/004 <br /> ELECTRICAL PERMIT APPLICATION <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 ARE ACCEPTED FROM 8 AM TO 1 PM <br /> j I �,?�lt' <br /> ��-��� D���. ����c c,ln-r �-T <br /> PROJE T ADDRESS <br /> C6��j� �,�o�r,�tl� (�(.1C /�lo) IZr`'lYv6 k/ L��,�mad ta,71- 9A�3) �b 2t6 Y)88 <br /> OWnor Mall�ddress City SlatalLip Phone <br /> Tenant . MailAddresc Cily State/Zip Phone <br /> V�`�1. F�l,�G7lltc �OLS S29 L C� SkU��s I.t/k►- `�'3}S�f3 �f2s?Ts76eo <br /> Elecidcal ConUador Mail�ddress City � Stale2tp Phone <br /> VI��Nt'-fil9�6n2lr S ��0 <br /> State License Number Contract Price of Work <br /> SF2 <br /> Proposod Use of Building Contecl Poraon (Pian Review) <br /> Descriplion af Work to Bo Done; W I�t h(h� �0�� sf � �/l. �Opa S[/✓«t. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUiRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA6LE. <br /> CITY OF EVEREiT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cortl/y ihaf/havo reod and examined Oiis application and know fhe same fo bo Gue end <br /> correct. All provlslons o/lows end o�d/nancos gaveming this type ol work will be completed <br /> whe(her speclfied horoln ornot. Tho gronOng ol a pem�rt dues not rusume to give authority fo <br /> violefo or cancel the p isions ol a y other state or locel law ropuPNng consWction or the <br /> peAormance o/consl ion. Thet am auf/iortzed by fho ownor al fhis property to perform fhe �� <br /> work lo�which appli f n fs mad nnd 1 comply wf(h the State Controcfo�s Lew 18.27 RCW end � <br /> 296.200 WAC. <br /> 6 — ]^ Oe �7 —7 <br /> � i / <br /> pnat re Dale �� '1 " <br />