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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX426-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> �� Z3 UPP�r ��', X.n� KOAr� Lc�-� <br /> PROJECT ADDRESS <br /> t DfZ FIo �+�Ns ! 8`f!0 2�7� Aue. \.✓ 5,,;�e. loz LVVJJ.�� tnlqf9Yo3v Nzs� ��ti-'�sry <br /> Ownef MailAddroza Ciy Smto2ip Phons <br /> Tenant MailAddress Ciry StatdZip Phono <br /> �Cr�� nf L�P�, fT'�L 1,V� �10_t- � Z660 ��.��C�Ct �< le�4f�da8z y25-SU��'�Q7�J <br /> ElectricalContracto� MailAddress City Sqte2ip Phono <br /> ��fflP. (���ilA�f � s0• � � <br /> Shate License Number Contract Pnce of VJork <br /> }��/1 N �'L�r: nl _ <br /> Proposed Use of Building Co�tact Person (Plan Review) <br /> Description of Work lo Be Done: TE,' v"I i� S�.(1,�)i (, '�. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACE\NAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE 13 3705 <br /> 1 hereby certify fhet 1 heve reed end exemined fhis eppliceh'on end know the seme fo be trve end <br /> corred. All provisions ollews end ordinences povemrng fbis typo o/Kvrk will be x.rpleted <br /> whetherspec�ed hersin or nat. The grenting al e perm?does notpre sume to give euUronty to <br /> vlclefe or cencel fhe piovisions ol eny other sfete orlocellew raguleting construdion or the <br /> pe,�formence of construcfion. Thet 1 em eufhonzod by fhe oimer±/fhis property to pedorm tha <br /> work!or which eppficeh�on is meda end 1 romply wrth the Sfe(e Confrec(ors Lew 18.27 RCW end <br /> 296200 WAG, <br /> � ��..�� � - I Z-D� <br /> si0namro oa�o <br /> �G�O� - (7�U <br />