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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-2b7-8810 - FAX 42&257-8857 —www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />..�'>lJ 1 1'�a55a� Sj�Yri- <br />PROJECT ADDRESS <br />Owner j <br />Mail Addross <br />12ad:ol < G.�.rs�lta��ls ->I � I :lla <br />Tenant �� W4'�IV�y�••.� MailAddross <br />City <br />City <br />StatolZip <br />State2ip <br />1.0 <br />Pi 4-� <br />anuou <br />Phono <br />/ �ri � C�fnac���s Tu II:.S' Pil.ar P� 5 ��aiHe ivA 98144 l�c�);�F-173a <br />ElecNcalContractor MailAddrass Ciy Smm2ip Phone <br />cc�NrF�r i[.�R6A �If,T�*.:oUr9/-`2 <br />State License Number <br />Ca ii urrt:'u� <br />Proposed Use of Building <br />�/ G jS "`� <br />, � <br />Contrad Pnce of Nhrk <br />Fr;� :�. �c�i�iPi"�" <br />Condct Person (Plan Review) <br />DescriptionotWorkto Be Done: �n�izi II (� ���� � �� �� ��r�c �nla.r ' ^-✓� F �o i nrw <br />A/� i.,'+ , <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IIV RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAI.ES TAX CODE IS �105 <br />1 hereby certily fhet 1 heve read end exeminod this epplicc <br />correcf. All provisions o(lews end ordinences goveming I <br />whetherspec�edherein ornot. The grenting o/e permd <br />violeteorcencelthe provisionsolenyothersteteorlocel <br />perlormence o/ cronsfruction. Thet 1 em eutbonzad by the <br />work lor whicb appliwfion is made end 1 cnmply wdh the : <br />296.200'NAC. <br />�� 7 <br />! _�. _ k'-4- / ��- -. _ � <br />and know fhe seme fo be truc end <br />ype o/ work will be comple(ed <br />� not presunre to give euthonfy fo <br />sgulefing constrvction or fhe <br />er ol this property to paAorm the <br />� Contrecfors Lew 18.27 RCW end <br />2 %I� �Z �04� <br />FEE <br />����a-us3 <br />