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Nov 09 11 12:34p P � <br /> �— — <br /> ELE�:�RICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERI�ICES <br /> 3200 CEDAR STREET, EVERE�', WA 98201 <br /> 425-257-88'10 - FAiC 425-257-8857–www.everethva.org <br /> A�PLICATIONS ARE ACCEPTED FROM 8 AM TO a PM '��. (�' `'r <br /> � CI��/ ��-7/ <br /> 10 `-1 �� IOi�i p2�UC 5.�. <br /> PROJECT ADDRESS i <br /> Owner Ma:iN1d•ess City StatelLp Phone I <br /> Tenant �,1ailAdtlres. City StatUZqi Phone <br /> PCS3oXc�4zti�f <br /> �JES l C1�u�ST �'1-�C_i P-tCAL CO�T2A�-co2 �Cl��� �J A�I�Iti� ZO 6 Z�I�/SIS —' <br /> EIeCMcal CCi�raClor Mai!Address Gty Slatcr2�o Pliona //��' /// <br /> G�/ <br /> �LS�GLC��� � � � ,.J �� <br /> Stele License Number Contract Price of�h'ork <br /> I Prepcsed Use of Building ConlaU Person (Plan Ravievr) <br /> . Desalpiion of Work�o Re Done: 1��Z.L �\�T \ ��.�\ i `��1 v'1 L.� ��'L � L� `� <br /> I SL� 1�L�--1 FC� � �1nT� TZ�� C�Vk�. '�C�, I <br /> � <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO FEE <br /> DE IN RACE4VAYS, h1C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�eby co�iily f�at 1 have rs�d and exam,inod(his qopfication and kno5r(he same lo bo lrue and <br /> corrt3cL All provisions ollaws andon/inancos governlr,g this Fjpe ofwork wi116e compfefoC <br /> whether spec��ed herei�or noL The granfing oI a Farmd doe5 no1 presume(o give aufhcnty fo <br /> vidate or cancel the piovisions of ovy o(her state or local faw rogulating consfrt:cfion or the <br /> par7ormance o(cons[/uction. 7Na11 om authonzed by fhe o�.vne�olfh�s piaPedy fc psdorm fhe <br /> xrork lor whid�application is mado and I con;ply wi(h the S:a(e Corlioctars L:�w 18.27 RCtH and <br /> 296.200 WAC. <br /> ��� i ( 1�� �2�� i ; <br /> Sgoa:ure Oat <br /> _ —. I <br /> , , �� �,�il <br /> � <br />