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G <br />ELECTRICAL PERiVIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 RM TO 4 PM <br />/c�71� <br />7��- F /' 1/ q�tt U� �� <br />PROJEt;T ADURESS <br />�� !J <br />` � �-, c�.>>la-,, <br />Owne Mail Address <br />Tenant Mail P,doresa <br />io7/Ir � <br />���� - � -D� 5��_ <br />r,�ry <br />City <br />� , <br />::-�—,r <br />� �. <br />(_= I/i, � -r;-'�� <br />j D 7/,�, <br />��. �2� i / , �J I� <br />State/Zip Phone <br />�/,� � � 35�'j - 7(c9�( <br />State/Zip <br />Phone <br />� i_�'� I��•c. G��'<�',c�c� �i_c, �(�. n�c-� S%� ITL�I k�iTEi-vYt�� �1� %�.�-SZ <br />Eleclrir,alConVactor MailAddress City StalMZip Phone <br />��;U —1�4� - 4B 3�� <br />�.�,'�4c�, ��T ��� c�J ��c.c�.��'� <br />State License Mumber Contracl Price o( Work <br />Li��_I.:rcc 2c� <br />Proposed Use of 8uilding <br />Descriplion of Work lo De Done: <br />,(lr-5,.;�-nti_rG� ��tW�'-f <br />Contacl Person (Plan Review) <br />�#� G 4Jz/� e <br />gl'�'' CeCCc�G17Ci��4b�ti- /2i�G�� �L'� L/5`l��'" /Fl,t�!-�L9-'GS . .S��z%L<<z C.LL�Li,c[� <br />NOTE: WIRING IN NON-DWELLINGS IS REGUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />1 hereby certily that 1 have �ead and exnmined this applicalion and knon- fhe same to be true and <br />correcL All provisions ol la�vs and ordinances gove�mng this type ol �voik will be conipleted <br />�vhether specified herein or noL rhe g�antint� ol a pernuf does not �resume to give aufhonty fo <br />violatc or cancel fhe pravisions el any other stale or local la�v regul�tin� construcfion or fhe <br />wo�k lor �vh,c�i a��ll catior�i�is r a'de and�l co��odzed.(� theeStafe CoriVactorspLa�v 18.27 RC�W and <br />2ss.zoo wqe� �'�' �'r <br />,' , 14'ca� <br />lu� �,_ � � v � �C�; <br />� - 7—// <br />FEE <br />llOd - �,� <br />