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ELECTRICAL PERMI�' APPLICATION <br />CITY OF EVERETT PERMIT SERVICES S�pJ�6 <br />3200 CEDAR STREET, EVEREI T, WA 982D1 <br />425-257-881C - FAX425-257-0857—www.everetriva.o�g (y�605-07Z <br />APPLICATIONS ARE ACCF `TED FROM 8 AM TO 4 PM - ClEB1T & CREDIT CARDS ARE NOT ACCEPTED <br />'� "� 1 ,rj _ <br />� �� `E�`' SI Sir �l/�Y�r� �i�zo�' <br />PROJECT ADDRESS <br />O�mer <br />Tennnt <br />l�.G—n � �Y � <br />2'Z I �' !'l `F�` S� <br />MaU Aadresa <br />A4�11 A[dress <br />��'u1 S 0(6 ?Abi-t-Sf" 5«l <br />EleetncalCoMractor MallAearcee <br />_���-�o��'r�5 <br />.0 Licenso NumCor <br />i�es� A�'''`.E;.Q- <br />Proposed Use ol Building <br />DescAptbn of Work to Be Done: W ��� �"G�� s�- <br />2yoo <br />Clry <br />�>'I <br />NOTE: WIRiNG IIJ NON-CWELLING5 IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CAB�E. <br />CITY OF EVERE7T LOCAL SALES TAX COOE IS 3105 <br />� he�eby certiFi fhat / hnvr. read and examme.i lhis aopl:ce;icn qn0 know the <br />c< �roc}. All piov�sons o! lews an0 ordinencas goveming fhis lype ol woAc w <br />whetha.� sFec;fied heio�n or nct Tha gran8r,g of e pnrm;! does nCt Aresume <br />videte or cancel the pr�v�yons ol eny oCror stefe c� l�co� low re�uleting con <br />poAorrrence el constiudion. Thaf I am authudzed by the owne� of fhis prop <br />�vorh Icr wh;ah aFAlicnticn is made entl I ca�nFly wlth fhe State Coatrectors C <br />296.200 WAC. /� . , <br />� <br />�� <br />�� <br />SletefLp <br />PtateZp <br />Pyone <br />Phone <br />� <br />. �/, %i , �O � (O <br />- s�hrna, -;, , ._ , Phona <br />'. ��!' � ' Ci � iCi <br />1 � � o o U .� �'�. <br />Contracl P oa of YJo�k - <br />Cunmct Fersan (Flan RevleK•) <br />E4c,u.�. ��►�% . . <br />to be Uue end <br />omp/afBd <br />i ouL�Ority' f0 <br />in Or th9 <br />paleqn the <br />.27.RCW and <br />�" . C� � <br />O3Gl S!.(. 53b 3u��aaui2u � ani�ao�� <br />FEE <br />�� ` <br />.: ;i . __ <br />� p�US-c,7 � <br />l:U;.[ �H '7f70� I)I �eW <br />