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EL�CTRICAL PERMIT A�'P�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,15oZ i�r�����' S.� <br />PROJECT ADDRESS <br />_�-,;�x.� L�iv��:trr�' <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />City <br />Cily <br />State/Zip <br />Stafe2ip <br />�j .-� o-io <br />C,o,o..��y <br />Phone <br />Phone <br />'j/;C�iS GL�ti/z��. LLC 2d'/�/Cifv•�fLH2C' �i�• ��iLc�STLuc-,�r5 w�t- 9o'15e� �/l�i 3%9.3uvZ <br />Eleclrical Conlraclor Mail Address City Stafe/Zip Phone <br />/-� fi12�5 c�. �ID Z t� E <br />Stale License Number <br />Proposed Use o( Building <br />Contracl Price of Work <br />Conlact Person (Plan Review) <br />DescriptionofWorktoBeDon�: /�Y'�/��lY�'�y J��wL�7= f�tLe` ((//JIJ�L' �i/zG^�/u� / <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily fhaf 1 I�ave read and examineil lhis applicalion and know the same to be frue and <br />correcL All provisions o(la�vs and ordinances goveming this type ol�ti�erk �vill be comp(eted <br />�vhefher spealied herein or noL The �ranting ol a perrnd does not/�resume fo givo authonty fo <br />vio�afe or cancel the provisions ol any other state cr local la�v regu afing consfrucGon or the <br />perfomiance o( construcGon. rhat 1 am authorized by the owner of this prop�riy ro pedorrn thr, <br />�vork lor �vhich application is rnade and I comply �rifh the State CoNracfois La�v 18.27 RCW end <br />295.200 WAC. <br />I ,�/ `/�/ :< i ,� /7D�ZS <br />,� <br />FEE <br />D� <br />�r� _c <br />l <br />