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ELECTRICAL PERMIT APPL.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CE�AR STREET, EVERETT, WA 98201 f f� �'�,_� � <br /> 425-257�810 - FAX 425257�857 —www.everellwa.org <br /> APPLICATIONS ARE ACCEPTFD FROM 8 AM TO 4 PM <br /> � I� i`i � � -OrS <br /> 23C� �nE��zu� c:��� PA�kwnv <br /> PROJECT ADDRESS <br /> Owner K�7 nddms Ciry Sta'sRp Phmn <br /> Cp�1tnJ[L �1�Ro5Pf�c 7l,I)') �Nf� si 7u� c,1FReTr t,c)I� H�u1N NZS-3�b-13�I <br /> Tcnant Mai lldd�tts �u—'E 1� Gfy =���P �tOfC <br /> aka �i-C le�e���o}� <br /> rz a--- ►�...,.�-�,,, ��wrcES h �W 3�1'�si �roA( WP� ��,�j5� azs-Lli-t3cp <br /> Ekctrio�Contrador wa�eemea :x�E A� cny sr,+r/zio � <br /> EL P�C i E�Cr 88 2 s 3 �`�,1�9, l�0 <br /> Statc Lfcense Numhor Conttac!Price of Work <br /> i�AeCS �AA1�I f�CVu�(LE <br /> Proposed Use of Bu�lding Contad PeF.�on (Plan Rm%�vi) <br /> �uiptionotwurktoecoone: T��S�dr� IVE�J nIETW��Ll� �Nr`QASrR-tl�T�� <br /> � f�d3���(.,r <br /> NOTE: WIRING IN NON-0WELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC Cl�BLE. �O � <br /> CRY OF EVERETT LOCAL SALES TA7(CODE IS J105 <br /> I hnroby ce.�rdy Uiai I havc read ar+d exanvned Uus appdreation ond know the senro fo De Wce and �B I� � I , b f S <br /> wrrecY. All piovisrons d/aws and ordin.i�nces govenrirg flris rype o!Nrrk wifl bo oomple�ed <br /> whotha spealkcl hcrem rn nof. Tho grnnhng ol a OormA does no! surrte(o give euffwnry to <br /> violale or cnncel lhe prwi.aons d any dher sta(e or local law tlrg crnstn�dlon or thc <br /> perlamance o!oonsfrudion. 71r�1!am aWraaed by fhe owr.c�o!this popeNY b perlmn!lw <br /> Nvrk fa wh�nppliration rs made�1 cnn�ly�Ne Sta(e Contr�cfors LaN 18.27 RCW arid <br /> 296.200 Y✓AC. /J . <br /> r <br /> �C� �r ' i �r�-!�.��i- /�/3�� <br /> s�,.,n�«/ �i� <br />