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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE77 PERMIT SERVICES <br /> 3200 C�DAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 - FAX 425-257-8857 —www.everethva.org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> GS� Mt.rrill Cvo IP Pu,.�I? ... r Gv.�va�{� u1A <br /> PROJECT ADoRESs <br /> r;�ee�;re� �- �T. T 6Sot.> _rv�.,�ill Crt�le F�.J[ � Cu -!f . In/A <br /> OwnOr � 61ailAtldress Ci,y Stule/Zip P�one� <br /> Tenent M11allAddmsc C�ry Siatel2ip Phone <br /> ( ,�� Ce�. <br /> �uur�l�a..., Secun�� 1 �4 3 1S�' �,� .]nWW Se� ,f}'Le � t+.{4, q�BL��f _ (2v6) ?591z6K <br /> EleatdcalConlractor �na�iaadrese c��ty smie�,�p anone <br /> CYLIG ^�� S< 223125 � � 5 � <br /> Statu Liennue N�mber Contract Pnce�(Work <br /> _1ClA�l'�•1� (!�L`T—l(? _ <br /> Proposed Use ol 8uildin8 , ConteCt Person (Plan Review) <br /> Daccrlptlan o(Work to Bc Done: 1 JViV��1 �C��'V 0.�OC� '1'b '�j� ���y�„ <br /> a <br /> st.,c�� �c�.w, �__�'1�, /s-l�.loes� _ _ <br /> NOTE: WIRiNG IN NON-DYJELLINGS IS REQU�RED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> � � � <br /> I here6y ce�til��(hsf 1 nsvo read anU Ax�rnindd f1ti5 r��p11c•Nfion and h�io�r tl�o::�ri�B fJ be(Rie erd �_��L f � <br /> r.o:roCt. All pinvis�on;o/latvs end urtlinnnces govenvng(h�s typo o/�enrk wili be camplefed <br /> wllalher'sUrciiiaJ Irereln or noG The c�rentmp of a pernvt doas not p�esume lu Uive authanry fo �� /) <br /> violnto ar cancel�ho prnvisions o/sny ofbor stcto oriocalla�v regui�un�c•nns�ni�fian or tha l, <br /> poAonnoace ef construcfien, That I am authorzetl by tfre o�vnor ol thrs Pruperfy fo ne�forrp fhe <br /> tvorh fur whicb a��p!lcatlun is niadu nnd I compty wifh tho Sfafa ConvaClor::Ldw iB.27 RCW ond <br /> 29G.200 W�C. <br /> �__.�T <br /> .__ .._. O�1 / 21 /o� _ �--- <br /> —S�gnaWre . . ..._ Dnle <br /> 7,� �,�dcc;OT LCt�lc iZ 'd�S Oo6h-8�9-90Z: 'ON Xd� 1.1[2fIl�3S IJt1IQ2idf1�J: WObd <br />