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( <br /> ELECTi�ICAL PERMI� APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �'�—�0 —6 7 <br /> Co7e�-o �'J <br /> _ �� `'> > � �iNI�Z �z-�vi; <br /> PROJECT ADDRESS <br /> ���i�^ , ��_ (_>�ZG hh i.� -�r . ��.ILC, cR�rEY �l� ��D�Z �lZ) — 3j- <br /> o�vner��t�}Z-y 61ailAddress ,S��n-t= Z� � cuy siai�rz�� �no�,�Z�, <br /> r <br /> Tenanl A7ail Address City Slate/Zip Phone <br /> ��1� �-��� '1L 32c�Z I�rYf'St SF (�IC�E`11 tJ�4_ �d��� 4�—�'i �— <br /> Eleclrical Conlraclor Mail Address City S1ate/Zip Pi�one(� � <br /> ,(��,� ��� �� �L(-' �� 3 3cz�o "- <br /> Slale License Number Conlracl Price of Work <br /> COrJON�I/Ul ��'�5 SiMVNC �Cz�-r�L-y <br /> Proposed Use ol Eiuilding Conlacl Person (Plan Review) <br /> Descriplian of Work to De Done: ' ����{- ���Q �'� 5. <br /> �w ti \'^'� <br /> � � � <br /> NOTE: WIRING IN NON-DWELLINGS IS ��EQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. ' <br /> 1 � �}1.1'- �1 ` <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 }� <br /> „� % ��,, <br /> I hcreb}�certily Ihat I have read and examined fhis upplication and hno�v the same lo be Vue and Ep t. ' :� <br /> conecf. All prowsrons o(laivs and ordinances c�ovemmc�Ihis fype ol�vork u�ill be cornpleled S <br /> �rhether specilied herein or noL The granting of a pennit does not'�resume to give authont}�lo � 't <br /> �-iolate or cancel fhe provisions o/any ofher state or loral lait�rec�u atinc�consVucfron or the t,�j�';``�' � <br /> Wo k lor wh ch appl!atior/o�s n��de and�l c�omplye�'!h}fhe Sfafe Confn cters La�i 18 27 RClhi�and CIT�mrt scrv:c.,,`, <br /> 29G.200 WAC. <br /> ? --�_ ��r�o�- _ � o ���- �� � <br /> �— � nat r / Uate <br /> � <br /> _ i; " � <br /> �i <br />