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Aor. 14. 2tlilg ip;e9AM l � aht Doctor No. 3825 F. 2 <br /> f <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 88201 <br /> 425-257-8810 - FAX 425-257-8II57—www.everetlw2.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��0 M2�fJ'�� L��Ceel< �r k� <br /> PROJ�CTADDRESS <br /> �oc k�U�"S��aS �ZO� MNffillCdeelZ I I��W �e`�e�"T wl� �Zd3 <br /> Owner MailAAtlrese Cily Slale/Zip Phone <br /> � � t\ <br /> $nN1PA5 A�Je <br /> Tenant MallAddreSS Cily SIBt0l2ip Phono <br /> �iK��"�oc�'a+r 21�C� (�lor" �P1� �un����Ce�e�<<•ce W�}'1`�Oy3 `t?.5-4�1-�� <br /> EIeC� iG81 f:or�tr�ttor Mall Addross CIIy Slalo2lp Phona <br /> L16N'f D�`15y L$ � l3`�i °I�� <br /> Stale Lleense Number Contract Pdcel of Work <br /> Covr��Me,�ci a l w���`l I��Y►��a <br /> Proposed Use af Bulldinp Conlact Person (Plan Review) <br /> Description of Work to 8e Done: ✓��'�� aY1� �c�I��rJI" �\� �\�1V`�E-'S , ��'�IaG'e � 1� <br /> ��x�vfe5 W��'�S�X���eS -�'at�el�l�c�e w0.��A�� <br /> NOTE: WIRING IN NON•bWELLINGS IS R�QIIIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � �7 � � �` <br /> � <br /> CITY OF EVERETT I.00AI.SALES TAX CODE IS 3105 �'1 <br /> 1 horoby cariity I;iat 1 hava�ead and e.eamined(his applica(ion and kno�v Ihe samP to be tius and r�D�—0 �(J <br /> correcf. Alipro���sions ollatti�s and ordinancos c�overning fh�s type ol work will be complefeci '� <br /> tvhefhe�spacilied herein or noG The granting of s pemvt Jaes notp resume ta give authonty fo <br /> violate or cancol fhe provisions ol any othor sfate or local law�epul,3tinp construcGon or the <br /> peAormence of ronsWctron. That 1 am aufhonzod by tha ownerp/fhisp ropertyfo padorm tho <br /> �vork lor tvhich eppllcalion!s made and I comply wifb fNe S�ale Conlrocfors Caw 1B.27 RCW end <br /> �96.200 WAC � <br /> � y ly�oq � <br /> Signalufe Oate , <br />