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�ug 1G 06 04 : 41a Tammy 4253914677 p. 2 <br /> � <br /> I <br /> ELECTRICAL PERMIT APPLiCATION <br /> I CITY OF EVERETT PERMiT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8657—�•rrnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM I <br /> , * r � <br /> ��c'U /'�"�/�-1.�C�1�G-L�� /'.-�sv;' %��,:�!5 �! <br /> PROJECTADDRESS / ' <br /> N��,�v;Gl' Gcc��. ����C',.�.s � y� u <br /> C�G�: GC'art v�c-s/l%7 rl�/� 7 17,�:taTC� Gv'-�� 75 i0 f <br /> OKner tdailAddress City Stale/Zip Pnone <br /> Z��l i�� , %�-$2� ti�L u��- y� / � <br /> Tenant � >� (�'lr...c�!/"C Gi.�✓/ C,S '�. <br /> MallAddtess Cily SIal621p Phone <br /> � �t <br /> ��L�c'l �:� �� "L.i�✓j ��c` �/�r PL .St,���r�:,c�ar.il! (✓/f �iS�G7S =��1 (s�i'Z7 f <br /> EI@Clrie7lConlradOf �dmlAdamss Cdy Stalc/Zip Phone <br /> � <br /> IT�cC'.�'t'� � C��7 P7 ���IGZ- `= <br /> Slate Ucense Numher CoMract Price of Work <br /> ' "/�� / G�L'N�K.0 Gi.2�' - l< c c�Cc- �! G�( / �S�C 1� <br /> Propbsed Usn of Bwld�ng Contacl Person (Pian eview) <br /> Descnplion of Work to Be Done: � �� C✓�7�19 G7`j U(��/ L� 5G!'!��%�- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I qTY OF EVERETI'LOCAL SALES TAX CODE IS J705 <br /> i 1 hereby cerL'ty thaf/havc read and e.earnined fhis application and kno�v tho same fo be frue and <br /> IcormcG Al/pmvisions of la�vs and ordinances governing this lypo of�rork v.�ill ba completed <br /> �vhelher Spea(ed harem or not Thc granfing o!a permR does not presume lo give autho�ity fo <br /> vroiate or cancol the prov�sions o!any otherslafe or local law regulating consfraclien or fhe <br /> � peAormanro olconstruchon. Thaf 1 am autho�zod by fho o�mer o/fhis property to perfortn tho <br /> work Por�vhich appLcation is made and 1 comply�vitlr(hc Sfafc Contractors La�v 18.27 RCW and <br /> i 296200 WAC. <br /> �� � <br /> i � <br /> � i � �/i� o � <br /> Signawrc ( Dale <br /> i �(7CoC�$—v7l <br />