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IIJ 15:�2011 l.1:10 I':\S 41(i13i7H:i0 1'AR\h:l.l. Iil.liC'1'HIC �OOY/002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8610 - FAX 425-257•8657 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��ib �oo� sr �s� <br /> PROJECT ADDRESS <br /> ���,�._I�.0 I�No� Sb�"s� n� Sn��n►��i u�w 99a9U y239o3r�g� <br /> Ownor MeIIAtlOreas Cly SWte/Lp Phons <br /> Tonant Mall Addroae Clry Stale/ZIp PhOns <br /> �t�a �{,Fl,7�uG yD�C' S�19Z /.k,��S u/9 9A�_y�� 33s' �boo <br /> IocldCel ConlrBcto� Moll Addrona Clry StalefLlp Ph�ne <br /> �/► 1 /!/I1/v�i.L97�1W1{r �/�s: �a <br /> SWte Llconae Numbor ConUact Price ol Work <br /> Proposed Use of Bullding Contect Peroon (Plan Raviow) <br /> Descrlption af Work to Bo Done: /l✓S�� f.Gf.-���A/tf �a� _— <br /> NOTE: WIRING IN NON-DW[LLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS�tOb <br /> 1 horoby cortlly thnt 1 have rood end axemined thls eppllcafion end know fho seme to be hue end <br /> correcf. All provfslons ollews end orrlinences povomin9(hls fype ol work wlll be complefed � , ,n <br /> Hhether speclflod hereln or noL Tho grantlng ol a permlf does no!prosume fo plve euthorlty fo �/ � <br /> wolnfo or cencel tha provlslons ol other te or locel lew reguletlnp conshuctlon or the <br /> po�formanco ol conslructlon. Th I n euth dzed by Iho owner o!th�s pioperiy fo peAorm fhe <br /> wn�a fw whlch eppllcat7on Is rn o n d 1 co ply wlfh the Stafe Cuntrecfors Law 18.27 RCW end <br /> 7!7F 200 WAC. <br /> . <br /> y-�s-// <br /> SlpnaW ate <br />