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ELECTaICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vn+nv.everettwa.org <br /> y ��-�-0 9 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �-Q c�O `� <br /> �02�� i q+�r �v e s� �T� �oo <br /> PROJECT ADDRESS <br /> �� M�rr�n G�c'�S� � o2n tiq�� ��e 5E �-to� <br /> O+ynti� tAallAddress Ci,y SletefLlp Fhone <br /> �r�YQ�a- , w� ag2og <br /> Tenant MailAddress Cay StatdLp Phone <br /> Ne-�-y er�,��- 5�i°'i S �D�V1r�n 5-�- S�ea-►�i-1 P a�i 4� <br /> ElectricalContraGor MatlAdtlress _ Ciry �—I�I I �'��ate2lp Phone <br /> �� <br /> N���c��1tS�F �b$ ►O(S�U•Cw <br /> Stato L�.canse Number ConVaU Price of Work <br /> �ae -2n1���� tr� <br /> Proposed Use of Building Contact Person {Plen Review) �!�s <br /> Oesc6�tionofWorktoDeDono: M�/V{ � l� d�.yn�eYv�ceo��l-e Cable �- _ <br /> �t��11q�-��� o-F �3 h�v� C.GN- e Cabl� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cadily that/havo road»nd oxaminad fhis applict�tron erxl know tAe samo to be truo and <br /> conod. All p. visions d laws and aUinances govemmg fhis rype o!work wfll he completed <br /> . whathe�speu�edheroinorrroi. Thogranhb,qolapermRdoesnotpre sunrefogrveauthontyto <br /> ' viola(a orcencel the provisions o/eny o(h,e�state orlocol fawregulntlnq construction orfhe <br /> pertormance ol ccnstrucfion. That I am auth�rizedGy Me owner ot fhis propeny ro per;orm tho <br /> work(a wh�ch app7icafion is made and!comply��vith tho State Conhacl�rs Lau�18 27 RCW and <br /> 296.200 WAC. <br /> svi�.,�-Pin�.�,.... � '22-0� �C� - / �'l <br /> Sic��ntue Dale <br /> t •d XHd 13C?J3SHl dH LIdE0 �9 60DZ ZZ �dd <br />