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Ju1. 2�, pppg 9: 51AM Li�ht Docfor ��o. 481S P. 1 <br /> { � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-267-8810 - FAX425-257-8857--vnvw.avareltwa,orp <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ) �Il2LN�e�rri`1\ �YTQ �Y' Pk11�L <br /> PROJECTADDRESS �Y�,r� w� �'$2O� <br /> '�n�,� 1��-�ma�n �5o.v�ne Q.� �c-zv P <br /> d <br /> OWner tdeilAddress Cily Slale2lp Phone <br /> 'N1�\\� v�a��Yl a� �.e.rr i �� �v�e.�.� ��� �5 �.�c1Y2 <br /> TCOn�t MailAddrees Cily SlatelZip Phone <br /> L�4��t nOC�'�Y I � �� ��o �n�kAVP l�� � �L1 �1.�� l0�'U. <br /> Electri IContraclor hlailAddress Ciry smtuZip l I���ppq�l' ` <br /> �-�� y <br /> l..T.C-��-ITDL95Ut�$ � �o2 ,3L�� , o0 <br /> Slntc Llcense Number Conlracl Price of Work <br /> �u�nior �e.q1.�.Y'0. <br /> Proposed Use ol Building Comact Person (Plan Rev� �) <br /> Doscription of Work lo ee�ona: _ ��CJ.�1� 1 \e�Y ��`� • <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> 1 horeGy certi(y fhaf I�avs read and examined(his appl;cefion end Hnow fhe same lo De liue and � <br /> conecl. A/l p�ovlsions o)/s��s snd orclinances governmg this fype of�voik will be contpleted . <br /> �ti�hefher apeciJied he�ein ornot TOe granfinr�ol a permd does notp�esume to glve au(honty�a <br /> viointo of cancel the provisions ol any o(berstsfe ofloCel la�•�reBuleling conslruction a the <br /> pedoimance o/constrocfion. 7hal 1 am authoiized 6y fho ovmer o!tnis property to per/orm fhe <br /> vro�klor�vhich apphcatron is made and I compty�vifh the Sfate Con(�ecNrs Law 18.27 RCW and <br /> 2D6.200 WqC. <br /> i <br /> �' l 23�f� q <br /> SI nalu e Dsle <br /> i <br /> r c9o�-G 9� <br />