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r <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERCTT, WA 98201 <br />42G-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l 7.i Z 5'S`T�' �7zpc�-�t�te."il� W 4 9�� �{ <br />q�i,:� � �. , , <br />PROJECT ADDRESS <br />�ooDS <br />Ownar <br />SMnE qs ow,�t1L <br />Tonant <br />2��.3 Qi�rlV C <br />Eledrical Conlroclor <br />Mall Addmss <br />Mall Addross <br />�h� S�"�a <br />Mall Address <br />�sE�-�-� oZZQ� <br />S�ate Llconso Numbcr <br />/6�'a4 <br />City <br />City — <br />LV <br />Clty <br />Phono <br />Slalu/ZIU Phone <br />. ^ yz,r-2�6.zn�y <br />Slala2ip <br />�/S'p o <br />Contracl Prlce of Work <br />Phono <br />s7�R€�- C.� 6rfn�6 ��4 a iG N�o2,f rr e.J <br />Proposed Uso ul Ouilding Conlac�;e4 Zi�Pla3 S�e�DDO <br />�a� <br />�i.� �k�u�A woAK <o-..�c�say) A�D i�tl��+Z'�0�/�/� cr0 /Frt <br />Dosr,riptiun ol Work to Oo D t I�0 (� .�R�J <br />—T^ —�— <br />k�0d11 6'C�n�T7�L-dq/Z-/�1D. --- <br />� ar.7(rc.4� .�,�tk-era2 Ta F,N�rN o�'�S���n <br />�,,l/��W .�e�N rr lslae�D �e[__dr z.J s� <br />� h..�n ;-��,,1 ;Nr�CE Z(SyPnsJ n.tai8'C BAscr1� �r,c� wi�, m-�e TE1t.-���/�o-TC . <br />NOT[: WIRING IN NON-DWELLINGS IS RF.�UIRED TO <br />BE IN RACFWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I her�by cartil}� fhnf I hm-e renJ nnd exnminnd this r�pplic� <br />CO/lDCL All (IlOVI510115 016�is^ ond oiilinances governmg <br />�rhefhar spec�licd horoin ur nat Thc �7r.infin� o! n pernuf <br />viol[�te� u� r.t�ncel tho prov7slons ol [�ny ofher sfntn vr locnl <br />perfonnance o! conslruc(ion, rhat 1 nrn nufhrnved by fh� <br />wak lor whi��� ypplicnfion is mado nnd I comply wifh fho <br />?96.100 WA� � <br />nnd know tho samo to be ��uv end <br />ypo ol K�ork wil! Go comp!ernd <br />not �resumo to give au6ionry to <br />egulnting consfn�cfion or tho <br />fx ol fhis propeRy fo pe�fonn fho <br />Confrac(ors Le�v 18.27 RCW ar�d <br />� � . <br />i � <br />t1 . <br />---� ,_.=:� � `---- =--- -- _! _� /v ----- <br />SiEln��lw � U:�lo <br />FEE <br />11j�� 1'� - I �.� 1 <br />