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4j ��t � <br /> � �, p <br /> �.'�9�1)� ��, . JJ �. � 7. 2�:1(I� � � fi �/1�V� � 1�N� I �'���T���l ��_� �7 f� ll_ ��� ' _. JJ�1i �. L <br /> �;x.0 ,r, <br />� ': 1�.,' <br /><y. `�,K w �!�§ . . <br />������:.�`�`. <br /> x <br /> r� � , <br />,,. <br /> ELECTRICAL PERfVlIT APPLiCAT14I� <br /> CITY OF EVERETT PERMIT' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-�.wuw.everettwa.org � --� �d? <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � 7��`�I� <br /> 2222 37�`` Sf <br /> PROJEC7 qDDRESS <br /> ����DJarl ���6�. �li� E�e�ce�'�' l�� �g2ob <br /> Owne� MailAddress City Stale4�p Phone <br /> fJ{qke ��I��G�1 ���I�I�to �9,��Si1��`4 tiJG J� �-0A '�'r I� W".-� 1!)�3T 2�6 6225b$ <br /> Tenant MailAddress City State2Jp Phone <br /> �.jah�'�c�'oC 2110b b61���eW �an�fe��t�Ac� IJJ� `�`{�dH3 �{'�'���� <br /> EIO�icalContfaCtof MailAddress City State/Zlp Phonn <br /> �16NT t�� �5�9�R °l�r��o , oD <br /> State LJcense Number Contract PriCe of Work <br /> �5i Re5 S �e�A�� s haq� t�'e�'; �-�" _ <br /> Prop-o—�Use of Bullding Contact Perspn (Plan Review) <br /> Description of Wark to Be Done: `Ai�11�� ��I°�S� �l J f e ,\'e�L�`•C�(Y`'Q 1�� <br />� i y <br /> i�, +� : <br />� � �� <br /> _ _, ; <br /> -��;;,�� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> i�', `:i: ,, BE IN RACEWAYS, MC OR AC CABLE. ���,� o� <br /> CITY OF EVERETT LOCAL 8ALE8 TAX CODE IS 3105 <br /> 1 hereby certily thot I hove reod and examined this aDpfication antl know the samo fo be hue and '+��U� (,�� - 1 l� <br /> correr.L All provrsrons o/laws and ortlinances govemmg lhis rype of work will be.comp/eted ' <br /> • whether suec�ed herein or not The 9ran�ing o�a portnd dnes not resume fo grve authonty to <br /> � vro/ateorr,ancelthe provisionso/anyotherstateorloccllawioyuPtingconsVucfionorthe <br /> �*,`�z��'=� � 'f,�'� podo�nanco of consWction. That/am authwized 6y fhe owner of this prOperty ro peAorm the <br /> C3�, ",' , �vork tor which ppplitotion is made ond I co�nply with the Sfate Con!racfors Law 18.27 KCW and <br /> �':::;�_,. .. 298200 WAC. <br /> / <br /> k a� � <br /> c � •'f � � <br />� ; �r1r ,� e oate <br /> T n� � �� <br /> P " <br /> i ' <br /> ��� � <br /> t r + tE� ��i, <br /> ,,�, �,, <br /> :! <br />