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May. 14. 2iii�l 1ii;5i)AM liqhf Docfor ��0. 7292 f'. 1/1 <br /> �.. ' - .��� . '. <br /> q'Z� � 2�S� �S r��x <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX a25-257-8857—vnvw.everettwa.orp <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br /> �qo� N�.�.Q. P,�o4_e� �.«�� c� a �_o-F <br /> PROJECTADDRE33 <br /> Owner h1allAddiese Ciry Slale!Zip phone <br /> L{ZS ' <br /> i��.0�ti y,(� �,�,�e. c,�.Q.� ►ao� n�e,t,u:e�. (',� � �.�x a �}Z���i 30 <br /> Tenanl ` IdallAddress Clly Siaie i �Z J.��I• Pn�I <br /> ��- r z�-� ��yu d,�; �,� YY1C,t,hM[l,� T�t.uCtCa� u� qx�r3 <br /> EledriC Conlraclof MallAddrcss Clly Slato2lp Phonu <br /> l,l�1l•ftDL�l�I.� CS ... <br /> Stele License Numher Conlrad Price oF Wark <br /> (���u�.�e�.uc�.� `�[� �e�. (�rPer�f� <br /> Proposeu Uso ol Building Contact Person (Plan Reviow�- <br /> oescription o!Work to 6e Done: �C� ��11.�.�-1�AG rP�c't� ��1.�' Oh�IAC 1 1.��l� � <br /> NOTE� WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVEREiT LOCAL SALES TAX COOE IS 3106 <br /> I hereGy certJfy fhsf I have�esd and e.ramined this applicefion snd knov�fhe sama lo de Irue and <br /> com3cL All provisrons ollaws and o�ainancos gova;mn�(Ais lype o/wak�vdl be cornp/e(ed <br /> e.liefher specified herem or noL 7he gisn(ing ol a permif does nof presume(o grve sutho�ity ta <br /> vrplaft+oica0co/(ho provisionsotanyot6orsfafeorlocalla�vregulafingconstructionoNhe <br /> pedormance olmnstruclion. Thol l em aufhorized G/fhe mrnerof fhisp roperty to pedoim the <br /> �t•ork7or«hich applicalion is matle.�nd/comply v.rfh fhe Sfate Contracfo�s Laiv 18.27 RCW and <br /> 296.200 bVAC. _��� <br /> ��� ; ���.� s�i� �o <br /> ����� <br /> .Signaturo oate <br />