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Jzn. 1. 2l'il4 9 : �Sa�r No. li13 P 3 <br /> ELECTRlCAL PERMIT APPLICATION <br /> CITY OF EVEREI'T PCRMII' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ' ✓�`�y " <br /> 425-257-8810 - FAX 425-257•8857 —Nnrnv.everettwa.org <br /> APP6ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��y�� �� � <br /> �3�3 Ma.�le St �er� �igaa� <br /> PROJCCT ADDRESS <br /> ' . exi n G (�evharcl i- �t,V�t� aS abDYG 4z5 27 3 '�a�i <br /> Owna� MollAtltlrca� Clry SlalelZlp Phone <br /> Tenant bloll Adtlrens � City StnleRip Phone <br /> C�1 I�ecr�r� Ine 14i� Braad�aa.�i 6ie.�e� wA q�2D I �}2;� 25q (�(�w� <br /> Elaclncal Contracto� R1allAddreee � Clry Slsle2ip Phono <br /> �I�IF�EAti{FIGDI(��f Z5� " <br /> Statc License Numbor Contract Price of Work <br /> Proposed Use of Building Contect Person (Plan Reviuw) � <br /> Descnp��on ot Work ro Do Done: I�X �y�G�SS �� AU(�A.{� �l 1��.� <br /> NOTG: WIRING IN �ON-DWELLINGS IS REQUIRED TO F[E <br /> BE IN RACEWAYS, MC OR AC CABLE. —� <br /> CITY OF EVERETT LOCAL 3ALES TAX CODE IS 3105 - � <br /> !hereby certi(y lhef l havy rea0 and oxaminod fhis oppllcolion and know fho same fo he(rue end �1 �� � _ �35 <br /> ronocf. Allprovisions ollaws ond o�dinoncos goremmp tlris lype ol w�rk vnll bo cmnplotod <br /> whatha specihod 7toiein or nof. 7he gronting of a permd doos nof msumu to givo authority fo <br /> vroloto or cnncel the Provisions o�any ofhcr smro or iocal law roguPa'mppconsvucr�on or 1hu <br /> vork Inr��,h cA�a,opl cai on�s n�do nnd l co�ply��(h fho Stafe Co ibaclorosPLoiv 1bP i RG�W and <br /> 29G.2pD WAC. <br /> � � � ' 1� <br /> SignaWre Dale <br />