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� vf> '�- 3�03(0 <br /> �_'� .fl� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 �EDAR STREET, EVER[TT, WA 98201 <br /> 425-257-8810 - FAX 125-257-8857 -rnvw.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �cod 'f��E.2 �r. �veQEcT ��A �6oz� <br /> - i � <br /> PROJECT ADDRESS <br /> Sl'X1TE- o p 1/`�A <br /> oe�c oF G�Ea. 4flM��s. 20� �a. AoM�.r . ��c, . �MP�cI V�A �185D� 3G°-qOZ72� <br /> Owner Mad�Adress Cdy � titatc2ip Phonc <br /> i �eQETf CoMM. co�u3cr 200o Tow�c- �-c GvevtTt" WA �g021 Q25- 388�q1oo <br /> Ien3nt M�nl�dtlress CAy SlalclJip Phonc <br /> I S�uoYAH ��. 1Z3�� 134TN GT. �!� K�I�MONO ��B�Sz 42S f�l�l -Loe <br /> [Iecirical Con�ractor Nail Adtlress City Sinte2�p Phone <br /> Q"?JZq� , � <br /> Slate License Number Contract Pnce of Work <br /> Proposed Use of Budding Contact Person (Plan Revie�v) <br /> f)escnption o(Work Io lie Uone. �C E���/L?T1��! Ot� l��-�4c-�r�2— .� Y�l�—GN'�^�-iL ��� <br /> : �µsTa�-�-+4T�o � o'�- P�ciaa l.c� l_�crt-+TC. _ <br /> � - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D TO F[E <br /> BE IN RACEWAYS, C�C OR AC CA6LE. � —� [EC�. 3'� <br /> CITV OF EVERETT LOCAL SALCS TAX CODE IS 3105 <br /> !lierchy certJy thal 1 havc roaJ and c�onuned this applico6on ann hno�v tliv sanm to bc fiuc and <br /> ronect All prwisinns o/lau-s;�n�i ordmances govemmg Ihis type o(u�ork wdl be campletad <br /> I ��;helhcr speciGed hcrem or nol The gran6ng ol a P��rnd does not pmsume fo yrve authonty fo <br /> v�nlafr, or cancel fhe p�ov�son�ol any olher sta[e orlocal la:v�e�ulaling conshuchon or fhe � n <br /> pe�/nrmance ol cansUricLon Tpaf I,m�:�uthanzed by the on'nei oI tlus praperty to perlonn the t �� �`� <br /> r.ork lor u�hich appOca6on is madc and 1 cornply�rith(hc Stafc Con(ractors Lmv 7H.27 RCW and 1 / <br /> ?96 200/l1(AC. <br /> / , <br /> �,-,_<c�� � i��_ -� l3 l� � <br /> � SignaWrc / Dale <br /> . % �07 - r�� / <br />