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0:�'�5''.00S 1�: 2a FdS 1425�9i90�^ <br /> GEDDIS ELECTRIC �002 . <br /> j <br /> - : ' ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE�� PERMIT SERVICES <br /> ,. 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www-everetriva.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDCT CAf2DS ARE NOT ACCEPTED <br /> I � I � �A-C i -� C �t/� �'✓�t'e� <br /> PRWECT MDRESS <br /> i <br /> �urni �r <br /> Owner Mall Addrr� City . ShatxIZIP . Ptione . <br /> Tenant Mail Address Clry SGaNlAp� Phaw - - i <br /> �e d d i 5 ��t c>h'�e. �ne � a a� -1 30+�. D�r �J� �-K Sfrve�h �J�-9£SaS� `�V;s q�roo ', <br /> EleCirical Contndor NWII Mdrds Gb Sntu/7p . Ptwne I <br /> �sEDI�-��� �q � R �- � �, ua�� e0 <br /> Stlte Limnso Number � ConVact Pricn�of Work - <br /> R e�.i d,e,n�►a.1 Rc�d-y_��.d�� 5 <br /> Piaposod Use o(Buildln� . � Contad Person (Plan Revie�w) <br /> I:e_uriptioi of Work to Bo Donc: � �v S� ' l a d d� 'f�14"� <br /> � R�!o e�� ���� � <br /> NOT�: WIRING IN NON-bWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL.SALES TAX CODE IS 3'105 � <br /> 1 horuby Certify thnf 1 haro reod and examined fh(s applicab�on und know the sama to be Wa and � � � i <br /> correct All provlslons ollaws nnd oMinnnces r�oveming this type of wwk will bo coMpieted ; <br /> wheU>er s�ed he�in or noL Thn pr�nUng of a pormd doas not resuma to gfvo authorify to . <br /> vio/ote or cancel the prov;slons o(eny othor state or local law reguPtlnq constrocLon or U�e � � <br /> pc+riormarrce o/ConsWcCon. That I em auUtonzed by fhe owner oI thls properfy to porform the . . <br /> work for whlr,ri Applicotlon.is made nnd 1 comply wrth fhe Sfam CorrLacfarS law 18.Z7$CW and q <br /> 2J6.T00 WAC. � . � 1� \ <br /> r� � a a e o8 S�� <br /> SqyiaWro oatn . G .) I <br /> � <br />