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r <br /> ELECTRICAL PERMIT APPLIGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320Q CEDAR STREET. EVEREI"T, WA 98201 <br /> 425-257-8a10 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 9.000 ToWE(L ST'�EET C�AM�� h �'�1-•n �h�ll <br /> PROJECT ADURESS <br /> �VE'P�E�\ CJMh�JN\\V <br /> Go1..�E6�c �:�a� ZoyEY�, S�. �JE�E�� uA ��1u\ 41S-3�i�`45l <br /> Owner 1,9ad AtlAwss Cny Slme?�p Phone <br /> S�hh <br /> Tenenl I,fail AAdress Cip� Slate2ip Fhone <br /> c�1JF�G�r� �cK..h, kS�S\�A�1J���JI S�S�\�C\J� Q.Et�'C0� WAS�OS�} ��)'���•Zl� <br /> Eleclricnl Contraclor �dad Addrrss Gip SiateZfp �none <br /> coNJe��9€4 bGt `�'���L ��, �$0 <br /> S�ate LicenSe Numbcr E t ����.\C Cuntratt PnGe af lNark <br /> C��P-E ��A'�r� JQOA�� Q-�'� M��CS C°,1i-'�e�•6�3;) <br /> Proposed Use of f3uildin� �onlad Person (Plan Review) <br /> Descriplion ol Work�o Be Donr: l`�L"�IALF �� ��� A�q�r � Nq e� CENo �� �����.�� N\ \4� <br /> �cqv�JE��E*�'C c�PPENS ��`-S GR�r� Srw� I�wN�fqc�o�t�... C��.� obo�CC1 A^�9_ <br /> GA'S�-F �o '(LE(�`n\*� T��C SN"�E _ <br /> NOi[: WIRING IN NON-0WELLINGS IS REQU'RED TO �EE <br /> BF IN RACEWAYS. A1C OR AC CAaLE <br /> CITV G'r FVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi/y fhaf I h.,ve m�d and ex�amined Ihls appl cahnn;�nd knon�flre san�e fo be hue ond <br /> conect. /lll provisrons ol Imrs and ord�n:�nces,cvernu-�(hls I}�pe o(�rork�sill be compleled <br /> whefher specilied herern ornnL Tha granfin�ol a perrul does not p�csurne fo g�ve aufho�tly fo <br /> violafe or cance!fhe pruvisions o!any other sfafe or lo�:al la�v regulaling consf�ur.lion or the <br /> perlomiance o/consVuchon. Thaf 1 am aidhorized by Ihe o�vnero7 fhls properiy(o perfonn the <br /> wurk(or which appllcalion�s rnadc snJ I cnnp�ly n�itir Ihc Sf:ilc Gnntnofo�s L��r; 18 2i RCIN and <br /> 2�c.2no tvnc. <br /> � ------ -��1�J� --- <br /> Slgnalurc Gn:e <br /> �7 �� � <br /> <�'"i L� <br /> � . <br /> I <br />