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Ju1 - 16-09 01 : 16P p,pZ <br /> ��_ <br /> ELECTRICAL PE:RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDP.�: STREE i", EVERETT, WA 98207 � �6 �� <br /> 425-257-8810 - FAX 425-:!57-8857-www.everethva.org � <br /> APpLICqTIONS laRE ACCEPTED FROM 8 AM TO q PM `_ " /O�d�� <br /> 3�-I i 1M � Tn� <br /> PROJECT AODRESS — <br /> y�s <br /> �rvrnk ? ss o�, �o -��. �u 9'd�� � ��� <br /> OWnr,r Maii Address ���y <br /> Stcln/Zip Phono <br /> Tenan( htail Address Ciry — <br /> Stalv/llp �lf Nhono <br /> �i�'�A�t/vtc K S� 3�0� �i��_ ���'�/ _ :cf q .Z� 4 � <br /> LloclriCal Cun1�7ClUr Mail qtltlmss ���Y <br /> 5131C2ip Phann <br /> �Vc.s�t/SS/ y � N <br /> Stalp Llcunse Numbcr —���.___._ _ <br /> Conlract Prirn of WorY. <br /> Ct�,�1�/Ll <br /> Propusr.d Use of 6ullding " • �. _ <br /> Con(acl Forson (Plan Rnvi�w) <br /> Descriptiun nf Work In t3e Dano� �u� <br /> � LlLTI� (�/�L[(/ijZ' — � �od�A,�.� <br /> �_�1z�.�k' v °�-rh�� _ <br /> �— -----.--_�—. <br /> NOTE: WIRING IN NON•DWELLINGS IS R�QUIRCD TO <br /> BE IN RACEWAYS, MC ORAC CACiLE. F�E 9✓ <br /> ( / � <br /> CITY OF EVERETT LOCAL SALCS TAX CODE IS 3105 <br /> I horeby caf/!v thaf I hn�•e read�i��ca;�nrined lhis app(icaflon c�ntl know thu sanre lo be lruo and <br /> cv�rYc�. AI!pruvisrons ollmti�s nnd urJinances qovemmp(hls(ppe ol N•ork wi!!be complefed �'- ��U l-C' 1� <br /> wtt[�lfier spodflcAhelein or uoL Tbe yr;�pfinp nl a pom�d Qces nn7 �reswne7a givo aulhorify fo <br /> ��ioiafe ur c;u�ce/tho I�rovisrons o!nny ofhoi ste�e nr lace!!m�-regu�n(inp con5fruc6'on or fho <br /> perlomlona�o/tnnstrucfiun. That!am authonzed by Ure oH-ner ol this preporiy fo piaAom�fhe <br /> wo�k la whrch applicafi �n i5 mtidn and!complp wit7r the Sf�fe Confractu�s Law id.27 RCW and <br /> 29G.2V0 lts1C. <br /> 1;��� j�7 <br /> Si awc ' ao fG�— <br />