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R!I�a-16-c01� �9:56A FROf9:PROFESSIUNtiL ELECTRI 360 435 1182 T0:42525�8'��Si P. 1�1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES g��3.� Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 —wd✓w.everethva.org l=�Zb$7--87� <br /> APPLICATlONS ARE ACCEPTED FROM 8 AM TO 4 P!N <br /> ��/ la 38��, sT <br /> PROJECT ADDRESS <br /> �OS Co v�[ G.ilr a�PJc/� a`//c� ,�d��'.1'T .f�,�ve�f G.'.�( � <br /> Owncr Mall Addross � �� � <br /> Clty S(atc/?Ip ('hone <br /> TEnanl A1ail AdJress <br /> CIIY Stalo2lP phono <br /> �t / `�d�= 3.�o -a �1� <br /> N�CT�CSS�'�i-.n � .�/rn�1' 1 C /`�O,Ci' % /��/ }�l., 4�.LI r7'�i�Js <br /> Eloclnr.al Conlraclor Mall Addracs Ciry Slale/Zip Pheno <br /> ! /` O � f�� tD � � �� J S � fl• <br /> Stale Llcense Num6er Contract Prico of Work <br /> �l�crc- /�wSL- <br /> Proposed Uso of Buildinc� Conlact Person (Pian Review) <br /> Doscnption of Work to �o Dono: �hS fo �� �� l-��C,, ,�- � ��� <br /> _.Lv.d e c� � / f 5�.� �� �D /'7 � c/U ✓ / <br /> ,�-- — <br /> NOTE: VVIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. Y- <br /> (�+� �C.J <br /> •� � <br /> CITY OF EVERL"l T LOCAL SAL[5 TAX CODE IS 3105 <br /> I hereby corTilylhaf 1 havo read and examined fh/s applicatron and knotv tho sama fo Ue frue and �I � �' ���i <br /> cor�ecL All provislons ol/aws and ardinancos govoming tbis typ�ol work will be completetl <br /> whe�hor speciliod horein ornoG Tho granOnp olo pormif doos net prosume(o c�lvo aothonry to <br /> vielatr, ar cancel fhe provisions oI nny othor s(af�or local Inw rogulsUng construcUon or fhe <br /> performance o(consfrucf/on. Thaf(am oufhorized b}�(he ownor o((hfs proporty lo pe�Ionn tho <br /> �vork lor which applicclion is mado and I eomply wi!ii rhe State COn6actors Lev� 18.27 RCW end <br /> 296.200 V✓AC. <br /> __SCc���`-�!'!. _���� <br /> Si[�nalurc p��o <br />