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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��� -C,��- �'�� <br /> 425-257-8$10 - FAX 425-257-8857 —evv,nv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �=C� 7�o-�3 ` <br /> _ 02000 %eWe/' � C U�+��def ��U�+ /��S °"'- � �acFsos� �a�(� <br /> PROJECT ADDRESS <br /> �(/�J+.(/ lA��� 2000 �1uKA' ��, � �'✓/P' �Y�OI <br /> O�vnef I.tatl AdAress City Slatc 7 P nc <br /> ��'s 18�- 9S/�3' <br /> �ad�+E -- <br /> TUnant 1,1ai1 Addioss C�ily SIa1NZip Phonn <br /> �nn�a" �1ee�c �D /� 3o/�S' l�el/'� �� lt�a 9�'.�,t � <br /> e�ectilra�con�r,ctor r,tai�nanies��itB�H�1ef- 360-31�_py8� c<// s�`'���zip 3(o0-T.S�r+"�''�9e6 <br /> �O�v.vEG�/96 7C C,� �# CoO, 0 Op °= <br /> State Lic�nsc Num�cr Contr�o(Work <br /> Proposed Use of�uilding Conlacl Person (Plan Rcviev:) <br /> Description a(1Vork to �e Done: � /t�tJ r��� —e..� �H'��S ��� �� � <br /> es�`rr'S�v_ a � � 4� ro,� �a.. e . �e��- LF'a,« vs Ty.,eJ. <br /> � � ��'� <br /> > <br /> NOTE: WIRIIJG IN NON-DWELLINGS IS REQUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cei1ily that 1 have read and examined this applicalion and know the sarne fe be Inie and <br /> conecL All provis;ons o/laics and ordinances governmg this type ol n�ork�vill be cornpleled <br /> whether speci(ed hemin or not The granfing o/a pemul does net resunm to give aufhonty lo <br /> vialafe or cancel fhe piovisions o!any other state or/ocal la�r reguPfing consfruc6on orlhe <br /> performance o/conslrucfion. Thaf 1 am authorized by fhe o�+ner o/this property to perform the <br /> work lor which applicafion is made and/compty wifh fhe Sta'e ConGactors Lau�78.27 RCIV and <br /> 296.200 WAC. <br /> /��r/�7 <br /> Sinna e Date <br /> �l( � 3(0—3(9��/ <br /> �o�co-�3�, � <br /> i <br />