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May 17 06 08:07a TFederspiel <br />, <br />360.794.7362 p.l <br />.. — <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT', WA 98201 <br />42&257-8810 - FAX 42r257-8857 — www.everettwa.org <br />APPLlCATIONS ARE ACCEPTED FROM 8 AM TO b PM <br />3��,�' S? `�' t� L S�J <br />PROJECT ADDRESS <br />.i� <br />Ovmer <br />Tenant <br />IA )ct v� rtc�iv�.��'� 3"L2g' S Z�'"1�I�SjJ ��/'�Yct�' <br />Mait Address <br />Mall Atltlress <br />�—V�—i ��z..,��� �-�-����_ � .� , <br />Electtical Contraclo� Mail Address <br />T N i" � L=� �� s�c—�4 <br />State License Num6er <br />proposed Use of Buiiding <br />Gry <br />Cily <br />lo S� �l <br />Ciry <br />ZOb.�S �. <br />�� � �-u.�� - <br />State2ip Plione <br />State2ip Phi>ne <br />z�p .7�I`{ <br />SlatelZip Phone <br />l �ii��.e7t� <br />Contrad Price of Work <br />' l uda F`CdC.(��� iC�\ <br />Contad Fersan (Plan Review) <br />Description of Work to Be Done: .�- �' � Z� ZC� �1 b��� <br />CL-� lr2S��ZV�C.�. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br />1 hereby certi(y Ihat 1 have read and examined this applica <br />cnned. AIf prcvisions o1laws and ordinances govemmq � <br />whefher specified heiein or not. The granfing ol a permit <br />violateorcancelthe provisionsofanyotherstaleoNocal <br />performance of constroctron. That 1 am authorized by the <br />work lor which application is made and ! comply with tho <br />296. Z00 WAC. r� <br />P��✓-1 S c,G��- <br />,_y_� �/ <br />iow the same to 6e frue and <br />work will be complefed <br />iesume fo give aufhonty fo <br />ting cor.s7ruction or fhe <br />his property to peAorm the <br />ac(ors Law 1827 ftCW and <br />S��.v� <br />FEE <br />� � . 00 <br />/n��—� � / <br />cy <br />