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O5/OS/2014 12: 51 253-631-7754 Pk'0'�/IDE�JT E�ECjRjC P�1iF 07/P3 <br /> -- --- . --- --- • <br /> � - <br /> I ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERFTT, WA 98201 <br /> 425-257-8610 - F�X 425 257-8857 —www.everettwa.org <br /> APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> (.p 10 �0�1'�= S'-r , � <br /> � <br /> I PROJECT ADDRESS � ' <br /> � �c�'�I�ne.�eS_ I�f�{2�1 h�ullC r�lcr __ q8o�2 � S-�k�1�l�d <br /> ' Owner � —� �--- I <br /> Mail Ad�re9s C�ry SlaieQ�p P�pne <br /> I Tenant --- Ma�l ACGrEss � — ——" _- - ____ I <br /> �'�Y SlatrJGp vnc�c <br /> Q'����i��c—fb��og� C.�� c�i�la-is3-ca�1��5oi <br /> PecV�cal Conl�adnr b1ar.ntldrens ��� State/Z�F F�nnne I <br /> �OV�Ia3C� <br /> Slalc licens�� NumGei Conhact Prlu;of Wc�k <br /> � � �..�- <br /> � ProDoseA Use ol HuJmng . . - Comad Pe .�o (Pian Review� <br /> � �n. t <br /> Descnpiion a!WaM to Be Done 1 �C�IA-� �[� ��� ���T ��Z�-'1_ _ — — <br /> �_..,_� _ <br /> I . —_ �-- ----- -- <br /> I NOl E WIRiNG IN NON DW[LLINGS IS REOUiR[U i0 �FF I <br /> �F IN RHCEWAYS, MC OR AC CABLE <br /> �_ I���— <br /> CITY OF EVEREiT LOCAL SALES TAX CODE IS 3105 ' l --- <br /> � � harebvi cerhly that/have iond dnd eramme0 flus appHcaflon ontl hno�v fhe sqme tu be LLe anU E I U O j —O Z� <br /> rnrior.I All prov�s�ons o/la�vs nn0 ordmances qnvenrinr fhis rype o(work�vJi pe cr�mplefeU � <br /> ivhe(her speafietl�oiern o�nnf Tlrc granLn�al a perrmf dons nofp iesume fa g�ve Oufhonty fn <br /> viulale er c,ncal fho provisrOns ol any ofher sfafe or local law regu/ahng consfrucnnr or fhn <br /> peAormance ol consfrvcl�on Thfl�I8II1 Ol/M0I17Bd Dy M9 DWIIO�0/fhrSp ioperty lo perfomr Ihe <br /> worw foi whrch applicehon�s maAe and I compty wdh Ihe Sfafo Contrar.Iors Law fA 27 Rf.w ane I <br /> �9G 200 W�C <br /> �i.�,vl� ��"�" 5I5 I�`i <br /> S�gnature Dale I <br /> .__'— —.____—_ _—_ . __. I <br />