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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425457-8857—www.evefettwa.org <br /> APPI.ICATIONS ARE ACCEP?ED FROM 8 AM TO 4 PM <br /> �'�lo l IS'� p 1 w �v��� <br /> PROJECTADDRESS <br /> Co�n���n.e,l�rn�,5 P� (�C Iyy2�l Mi I ICv�e�i� Wl4 9�Ci8Z �y�.5�33g- <br /> pw�lEf 1.1�i1 Addrf55 City StalBRip Phone <br /> Tenant Iv10ilAddiesa City StalelZip Pbo� <br /> i�r�GSto�n Fler�rr� 32aS rt=�:e 5� Fr,�„mcL�,w ��A 9a'OZZ (3i��SZs-3- <br /> Gle�tricr�i ContraCtof Mall Addmss City SWIe/Zip Pho�x <br /> 7 re.a� ee.�18 y L 5 � 2�•DO <br /> 5tale U nse Numbcr ContraM Pnce of Work <br /> ��n�iz. "�v�� l�� /rt,ew �re��,der�c.� j 1�`' <br /> Proposed Use 8uilding Contact Pers n (Plen Review) <br /> SqUO�e Footape(If residenti0l f10w ConShuction,ramCdEi of adtlftion) <br /> Description of Work to E3e�one: _f.Q�'Y1� �n l f- <br /> , � <br /> NOTE: WIRING IN NON-DWCLLINGS IS REQUIRED TO FEE <br /> OE IN RACEINAYS, MC OR AC CABLE. �O �_ <br /> CfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby cert�ly Uint 1 have�eod and ex&mined this applir.ation ond kno�v Bie same to be frue and <br /> cun�ect. Aq prvvis�ons u!Imvs and ordmances govemmy Vus rype ol worfr wlll DB COmpleta0 . <br /> wbether specfied heroin a no7. 7he y�anliny oI a permd does not Gresume to give flNhwity to <br /> violafe or canxl fhc orovislons ol any other stele or lael 13w rogulahng cuns6uc6on or fhe <br /> perlonnance o/%onstrvc�on. Tlrat 1 am ouBion.ed Ay the owner of fhis propeRy to per(orm the <br /> ivrwk lor u9rich appltcalion is madc ond 1 comply�vrtl�fh<+Stofe Conlrac(ors L aw 1 B27 RCW and <br /> 796,200 WAC. <br /> / <br /> '�/� L--,, IZ/ 13 f!2. <br /> 5iyne re oate <br />