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ELECTRICAL PERMfT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVIC�S � - a3 -06 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 r G6a6-Jb� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �, <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> / n n <br /> �7 �S �Atif�� h-vG� CV��12,�'7' �Al�f r'tC_ — �R�� j$�.oC� <br /> PROJECT ADDRESS <br /> OwnFr Mail HGdress City SWte2ip Phone <br /> Tenanl Mail Address City SiatelZip Phone <br /> �ir.RalZwrel<x ti,vr/n�� /Hzt 11v�.0 PNbh� SGi Svtnwk�S.. wd 94�lt Y�$7Y 33�.9 <br /> Elecirical Coniractor Mail Address Ciry Stale/Zip Phone <br /> � � OU, od <br /> `7�'v1w�45✓J- 'A 4�E4 i�v � <br /> Slate License N�.nber CoNracl Price ol Work <br /> La�++�t�n+�.:�At �R-�tM� - <br /> Proposed Use ot Buildinq Conlact Ferson (Plan Review) <br /> Descriptiono(Workto6eDone: �� (a-?Y_����-�ti� 1- Ci�,.�� /�oir� Swilr�.�ifw1— <br /> IJGTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BG IN RACFWAYS, MC 7R AC CABLE. <br /> CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereDy cenily Ihat 1 have read and examined this ap��lication and kn�w fhe same to be frue and <br /> r,ormct. AO piovisions ollaws and orUinances qovernmg tiiis t��pe ol work will be complefed <br /> whefher specdieAherein or noC The,qramin�o/a permrt does nof nesurne fo��ve auff�onfy lo <br /> violafe or cancel fhe previsions o/arq�otl;er sfate rn�local law regulaling consfrucfion or fhe <br /> peAormance o/constnr�hon. Thrd 1 am airthorizrd bv fhe cwner ol fhrs pioperfy fu pe�o.vn the <br /> work lor which applic,;b��n is rnndo ar,d I comply�ti,rli Ih� State Cadracfurs Lan� 78.27 RCVV and <br /> 296200 WA('. <br /> � / / �- <br /> ,__,�]y�,/,t�'l t: — r ^��.11e ".:%f. -- <br /> �U� '�i�� --d:l�: I <br /> Signalur� Dale <br /> /� / <br /> r" - <br />