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ELECTRICAL <br /> PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VERElT, WA 98209 � ` � �_� <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.oro <br /> �,--U?0(r � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3b�8 f>�l��a ,� ,� ���1 �.z,� ���.5 <br /> PROJECT ADDRF,S � <br /> cl J.,,,,n_ l-ri SWA�� 3�GP ()r��na �1�,� �vY,z71 �,/l� �9cF2�'S Sar+ 2S�.zr67 <br /> Owner htail Atltlress Ciy 5late2ro Phcne <br /> Tenant h+.ail.hldmss Ciy StafelLip Pho�e <br /> .� <br /> IYt�`��u C- A �,,,,-��. kaas �L�o��1�./�� i J„�ml �,�A �'�osz (Uzs\�x'�_3ssy <br /> [ICCt�iC31 OnVactof M11ailPdtlress CX StalelZip Phc�e <br /> T/` � �—� ' vc � � �; �'iGO. �O <br /> _ i 2 �ti.1' tr� i ��scP <br /> Stale License Numbcr Con;rad Prce of Work <br /> Proposed Use oi ouilding Contact Persor (Plan Review) <br /> 1 I c n 1� <br /> DescriptionofWorVe:oeeoone�. ���Fn.O t�,Jl� l 'fn��Cr\ ('i� 1�� nn �a^iS1 ���4��, <br /> r �� <br /> nn�rn2o CSrcUr'� <br /> — �, V <br /> NOTE: WIRING IN NUN-DWELLINGS IS REQUIRED TO FEE � <br /> �E IN RACEWAYS, MC OR AC CAOLE. <br /> CITY OF EVERFTT LOCAL SALGS TAX CO�E IS 3705 <br /> !hcrr,by cerUfy thnt I havo mad ond ecamined thls application ard kncw f'ie same;o Ue bue and <br /> convcf. NI provisi�r al/ows and oidinances go:�emmg(h�s type c7 ucr'n�vilf Do ca�rpleted <br /> wAethers,oecfiedYerem ornnl. Thc granhng ot a Aermd doos r,ol pres�:ne;o glvc oufhony to <br /> vrolafo or cnncol lho prowsions of any oMer sfate or7ocN larv mgidatrrg cu��stnidien or fhe <br /> pedamrance ol construc(irn. Tl�at 1 am au;honzed by fhe o�,vner cf th�s prcp^rty to peAomi tl:e <br /> work for�vhrch apphcatron/s mnde and f ccmply HdM 1he Stat= Con'nctas Law;B.27 RCtV and <br /> 296,200 NAC. <br /> ����.�- � /r�/� � /n' <br /> Siqnahne aIc ��I/ ,� '"/✓� <br /> l / <br /> I __ <br /> , �. . .. , Goq qea c_Z�30 LO c� un� <br />