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u; �.ti znns n�i:ai r:�� aaoaiJf1415 c:ut��t+� i:s�r isr. <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 • FAX 425-257-8857 — www.everottwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-�/��r� /a ��� �s�_ <br />PROJECTADDRESS <br />Owner <br />Tnnant <br />MaAAddre6s <br />Mell AddmRt <br />CoMrgdO� / � MdIAdG�asa <br />,� y7-.�s-9�� �.� <br />S�lete laense umber <br />� F� <br />P�oposod Use of uibing <br />Dascnption of WOAc to Be Done- <br />NOTE VNRING IN NON-DWELLINGS IS REOUIR[D TO <br />BE IN RACEWAYS, MC OR AC C�BLE. <br />CNy <br />Clly <br />Slnla/Zip <br />StNa21p <br />fdjooi not <br />c3lo �" ' <br />� <br />Phone <br />Phono <br />'_9ii <br />Ciry ' Steta/Zip Pharro <br />��a�' <br />Contraa Pnco of Work <br />�i�� ('.���-a,., <br />Conlad Person (Plan Revlew) <br />C�TV OF EVER[TT LOCAL SALES TAX CODE IS �106 <br />I herri6y certily fhaf I have roxd end e, ominnA fhis applrcelion ond know Ihe samo fo bo trvo and <br />cv�cL All provis�ons ollaws and nN�nanws qovanunr� fhis type ol worN will bo mmpinfed <br />who�hoi speCifiod hornin or noL Tho granGng til a permd tloes not p�sumo (o yive eu(honty to <br />wNafe or cencal fhe prov�sions ol nny ofher sialo or loca/ lew rogulahng consfrudbn or f�e <br />pd�formence ol mnstn�cfion. Thaf I am nuflrnnzed hy fhe nwno� of fhis prvperty fo pedoim the <br />woik lor whlch applicafiar rs rnedu ar:d I compty wi0r !M1a Sfafo Confracfors Lew 18.27 RCW and <br />796 200 WAC. <br />FE[ 1 <br />�,(��,"��� 11% <br />