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FRO�•1 :Evergreen State Hedt 8 R!� FRX N0. :4252596660 Oct. 23 20�9 01:36PM P2 <br />i <br />ELECTRICAL PERMIT APPLICATION <br />� <br />CI7Y OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STR"cFT, EVERETT, WA 98201 <br />428-257-8610 - FAX 425-257-6857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/D h/. /hAR/�f�i?/ A� <br />PROJECT ADDRE88 <br />hls-,ao�. ��G�sg.rr io �, ��i�y�,9c�- �. 98?oy y.zr- y� z- ssss- <br />Owner Mell Adqre9e Clty Slelo2ip Phono <br />Tennnt <br />Mell Addreu <br />Clly <br />Sinte2lp <br />Ptwne <br />�t.�nci2�n� � s�i��z. ,znv�.�if%�,9�E �r► fi�ao/ �S� - 3/i� <br />Electrlcal Conlraclor Mail Atltlress C!Iy S1ate¢ip php�0 <br />ELb�2 ��s �1.� �11G <br />Stnta Licanae Number . <br />�/'!,b-r �A�- <br />Propoeed Use of 6uildinp <br />" y�S, mv <br />Canlrect Pricn o/ Work <br />Contect Person (Plan Revlow) <br />OoscrlpUon of Work to �a Done: ��i1L7 i�J�%� /"L//'77/0 �(�/� G'G( /%� <br />NOTE: WIRINO IN NON-pWELLINC3S IS REDUIRED TO <br />BE IN RACEINAYS, MC OR AC C�BLE.' <br />CITY OF EVERETT LOCAL SALES TAX CODE 18 �105 <br />fhet l have road end axaminod lhls appllcat/on and kno�v fhe semo to Go huo pnd <br />�visions o(lews and oN/nencos govoming Ihin typo olwo�k wlll ba completod <br />'od Iroroin or nol, Tha gronling ol o permd Aoos no(p msomo to plve authairy fo <br />91 fhe piovisions oldny ofher stnte orbcallaw n�gu/elinp consfruction orthe <br />' cons�n�cfion. Thal I arn outhonzetl by fhe ok�ner ol fhis proporty (o podorm No <br />oppqcnt�on Is mndo nnd f comply wiU� tho Sfofo Controcfors Caw 18.27 RCW ond <br />FEE <br />�v��v i3_� <br />