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US 20 :012 11:15 PdS �IP5a5.i8f1Ja E��ersreen Serurlt,� <br />ELECTRICAL PERMIT A�PLICATION <br />CITY �F EVERETT PERMIT SERV!CES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-Fit310 - FAX 425-257-F1F357 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />�11� 12o(�G2-�,l.��P,t� PrU� <br />PROJECTADDRESS <br />owner <br />Tenam <br />I,�all Address <br />Idall AdEieas <br />qderess <br />o. a�� iu4 <br />�:����s Sl�a� a - <br />State license Number <br />(�' pr`c� c�'12r c�i.�.( <br />Praposed Use o( 6uilding <br />Gry <br />�k �A qgw�o <br />statca�p <br />�� (�+2� <br />S�elc2ip <br />�f �l9- 9 <br />SlateZp <br />�oo: <br />��a� <br />) �3- 34�{'} <br />Phuik <br />C25�g- <br />� ses� <br />, <br />Pl�onc <br />l 3�D. � <br />ConUad Frice o�1^�ork <br />Cont� Per��on' Revie�� <br />M�.�i.fe- 2� ���'n $� � PrC.1�- %'� �� LUCn_f1�9'l <br />Oescription ot Wode to 6e Done: � <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CAE3LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I here6y certily that 1 have iead and eramined this xpplication and know fhe same fo be Vua and <br />conect All provis�ons ol �aws and ordin�ncos Aowmmg fhis typo of �tibrk wdl bo cr�mplofed <br />�vhothor spocih,od horom or not. Tho qrantin.0 0! a pe�mit dces nol resume ro give authwdy fo <br />v�olofe or cenml fhe P�ovisions of any ofher stafe or locel law re9uPting cunsf�uction o� fha <br />paAormance ot consVuctron. That 1 am aufhon_otl by tho o�vnor ot 1Ais proFORy to per'omi fho <br />wnrk !or viAicF7lplicafion is made nnd I a�mp1Y v.+fh fhe Stote Confroctars lnw a8.77 RCW and <br />1 a� <br />FEE <br />�� i i <br />c'— _/ <br />E1zo8- 0�5 <br />