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, _. <br /> ELECTR�CAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8870 - FAX425-257-8857—www.everettwa.org <br /> /IPPLICATIONS ARE ACCEPTED FROM 8 AAA TO 4 P1A <br /> �o���'� /'�i �c� s����e� - ��e��re��P�'�� y� <br /> PROJECT ADbRESS �1f S/jj� ��T/ I�Q <br /> P �� M����s ►�I� �I � �� i�� g��� <br /> �vner kalt Addreae Ciq tdZip .Phaa <br /> r' I�� �/L/nN ��A � <br /> Tenent rneii nCdreea City i �" ' ' P��o <br /> P,�ri�i�► ��e�n��,�-�►c����� . i ��� ��m���w,w� �go�2 <br /> ElecUical Contrador Mall Addmss City Stee 'p Phone <br /> pr�eci��� ��� __ �• o <br /> State Licenae Number, Con d Price of Wak <br /> �(d�rh�+ <br /> Pmposed Use of uilding ��p�n (P����l <br /> Descriplion of Work to F'e Done: �a �'� / Y��l!i �II�II�� /�.f�/�Ly/G�f/ <br /> _Un���i �i - <br /> NOTE: WIRING IN NON-DWEIIINGS IS REQUIRED TO F� <br /> 8E IN RACEWAYS. MC ORAC CABLE. <br /> CITY OF EVERETf LOCAL SALES TaX CODE IS 3105 <br /> 1 heieYy cer6ly Urat I have reed end e.camined tlils application an0 Mrow(he sartre ro 6e hve end �1 I D�- l 2� I <br /> con2ef. All provisions o!laws end adinances govemMg this type of work wi!!be covr�pleted <br /> whefhe�spedfied herain ornat The gnuMing d e pertnd e�as natP�Sume!o giva euNroiky fo <br /> vlolnfe a cencel the provrsions of any otharsfate or IOCaI lew regulanng croshucYiar or ihe <br /> peAormance of conshucfian. T1tnt!em euNraized bylha ownsr d Uxs' p�onerrN ro peAonn Ure <br /> 29e 200 W C epptica ' is made arxi I compty w;lh tl�e State ConVec(ars Law 18.27 RCW and <br /> g � <br /> S�pna Daee <br />