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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WFl 98201 <br /> 425-257-8810 - FAX 425-257-8857 -v,nvw.everettwa.org <br /> APPLICATI�NS ARE ACCEPTED FROM 8 AM TO 4 PM �J �' `"—�'y <br /> � 03o�7-Ui o <br /> �000 ToWE(L SCC�kET C�AMP��� ��,�105.;� ��nII <br /> PROJECT ADDRESS <br /> �,VE'AE�\ C�P�MJN\\V <br /> Go1.�EGrc �� ZowEVIS�. �JE�ET� WR q$1o\ 41S-3C�'95\� <br /> O�Vner ldail Addresc City Sla�e'7.ip Phnne <br /> S^hh <br /> r��;.�,� �.,.;��.,,,���,��•: ���y �„�� ��� ��,��,� <br /> ,J�JJE�G\r� �K.�. �tS�S\�q\�k-1��J1' 5,5�\�C\JO Q:Et��OtJ WAy�OS'� K7)-a�'�•�l� l <br /> Elecirical Conlractor tdaii Add,o�s rdy Siaio'Gp PLonc <br /> coNve��9 b4��1 `-'�7'�-��L ��� �8� <br /> S�afe Gcen:;o Number E t�"C�TI�f��,A� Cnn'�racl Price o�L'Jork <br /> c��af n�A'�� �eoA�� �� M��cS C��.,-���•��3�� _ <br /> Prnposed Use ot[3uddin�� Contac� Pc�son (Plan Revicv.) <br /> Dr,saiplion ol N'ork lo De Donr� �`�P���F �� YV'(�{ A�A��� `�NL L CE.NO �� �-��e G�a.t� NVA 1'�_ <br /> �c�AV\�i LE�� G�(W�EN\ Z��-S Gi��l"�S�C I'�a+NJYP�G�J'(�E'Q�. �'\lc.� 06JlCNS A^�7 <br /> GA"J�-F ZJ '(�Er�11\*� Y��� SP�P'�E <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> f3E IN RACEWAYS, MC OR AC CADLE. <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3�OS <br /> I he�eby certily Iha(1 have read and exarnined Ihis applicafion�nd knoiv!he same lo be 6ua�nA <br /> r,orred. All piovisions ol Imvs and ord�nances c7overmng Ih�s type o/ieork u-ill be complaled <br /> �vhe(her specilied/rercin or noL The gi�3nfin�ol�perntR does nol presun�e fo give aulhority to <br /> violale or cancel 1he provisions ol any other sfafe or lor.al la�v regula(ing construction or Ihe <br /> perforrnance ol construdion. Thaf I arn authnrized by Ihe owner o!fhis property fo peAorm fhe <br /> �vork/or which npplicalion is rnnAu and I cernply n�ifh tho Sl�fe Confraclo�s L�a�r iti.27 RCW and <br /> 2J6.200 W�I C. <br /> ����'�� --- - -��1� J� - <br /> s�„�,ai��« n.,i„ <br /> � U�d�!'0/U <br />