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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 S—/O <br /> 425-257-8810 - FAiC425-257-8857—www.everettwa.org 1� ` <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���//` O I� <br /> 2 �O� �7 l��i��tv�0�� �� <br /> PROJECT ADDRESS <br /> V\�\�L� �,3.C�T+.�2 1—\cr�� C�l� rd2o*; A Sr • t�'-��TM c�4c,� � C��A gy\ 01 <br /> Owner Mail Addross Cily Stale/Zip/,.��S.'�bS ' Phone <br /> �"'12.\� <br /> �\� oN. '-�t��.�� 2 �0 � �.1r1T���CL �� <br /> Tenanl A7ail Addmss Cily Stale/Zip Phono <br /> ���. � S� �,.. o �M�Z���-�.�a �Ct� 0.�lbo � 5�� •5�3- � 1,�3 <br /> Eleclfical Conlrxlor Mail Address Cily Slate/Zip Phone <br /> Va�c�o�s�0.u-� � 3 2 s o�. �- <br /> Slalo License Number CoNract Price o(1Nork <br /> ��M�Z \`.C\141'CZ'(� �.V C�1��\� <br /> Proposed Uso of Buildinc� Contacl Person (Plan Reviow) <br /> Descripti�n of Work lo Do Done: \`\'e-\`�C\L �'�-x� ���1`�� S ` �� f"1`0�l�c� <br /> \���.T�c,� ��.�z C�o�e�, � � Ur�� �� 3�a�-��i �oP�. <br /> No o���n2 ch��MUrzs , o s,'c� �-+ _ �.is� � nc��-, <br /> � �v �:���,w�.� -_���,,ts <br /> (!ie� w,c��i '' �-�e � <br /> NOT[: WIRING IN NON-DW[LLING:� IS REQUIRED TO FEE <br /> DE IN RACEWAYS, A1C OR A: CABLE. <br /> CITY OF EVERETT LOCAL SALES TA),CODE IS 3105 �' U, � — ��n <br /> !hereby ceriily that 1 have rend and cxan�ined(his application snd knotv Ihe sarne to be truo and � <br /> correcL All p��visrons olla�rs and ordinances�ovenun�this fypo of�rork rvill be cornple(ed <br /> u�hefher specihed lie�ein or noL The�ranfinc�o!a pemnf does nol resume fo give authonty fo ^ . � <br /> vio/afe or cancel Uio I�ro��isions o!3ny ofher sfafe er loca!Imv regu�(ing constn�dion or the ' \ ) <br /> performance ol construcfion. That I arn authorized b}�fhe onner ol this property to perfonn the ����f <br /> u�ork Ior�vhich lication is made and I comply�rilli the Slafe Confractors Law 78.27 RCW and <br /> 29�'. i 0 WAC <br /> ( �.,..� � l� 3- \�o <br /> Sinnaturo Dato <br />