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'.�IAY/?2/20i2/10E 12:23 Pid FPI Seattle �AX rIn. 425290qF00 P. 002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET7, WA 98201 <br /> 425-257-8810 - FAXA25-257-8857—www.everettwa.org 5 _au- � z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM �I� 5 `{�� <br /> ����� �1 � �vt JC' ..]4i�C fT�� <br /> PROJECT ADDRESS <br /> (a-�3� <br /> l.—clN,�,,-tl I., �� ID/d l l9�ta ,4,.� S�-� S -�1,� ,�/ �,�e.�e� t✓q 98o�-OS 93't-� 1�O <br /> OwnGr Mail Address Clry State2ip Phone <br /> l( �( l< // �i <br /> Tanant � Mail Address Ciiy StatelZip Phone <br /> �`�' P�w���nd.� �ti� 1�(/ �x l�-dy�- M�// /.�o�� t✓q 9f?DB�-- �J�2-90-Y6rkJ <br /> EleGrical GontraC,of Mail Address Clty StateZp Phone <br /> �IR�'P,�� Oa-l�[ _ �15FI0, DO <br /> State Licensa Numbet Conhact Price of Work <br /> Goy�� a�c l�( 20� (�z�.��, ,� <br /> Proposed Use af Building ContaC,Person (Pla eview) <br /> Description of 1Nork to Be Done: �P/L`�vt� /ti"1��d ✓�t � p�'S�S <br /> l�Ir� �/D!�'n.vo �?��n �f�a M 1�5�-PW� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC ORAC CA6LE. <br /> CI7Y OF EVERETi LOCAL SALES TAX CODE IS 3105 - <br /> I hereby ceRiry that 1 have read and examined this applicafion and know(he same to be true and � a(��',J' — � � � <br /> correcl. All piovrsions o/lews end ordinences gov?ming this rype of work wJll be completed � <br /> whether specified herein or not. 7he granting of a pemrrt doas notA rasume to give authonty to <br /> vrolate o�cancel fBe provisions of sny oLher stefe orlocel law reguleting conshuctian or the <br /> pedonnanco 01 censtnicfion. 7hat 1 eim authonzed by fha o�mer of this property to por7orm the <br /> woik lor wtrich application is mede ar.d I cnmply with the State Contrecmrs Law 19.27 RCW 5nd <br /> 296.200 WAC. <br /> / �� <br /> �ate <br /> I <br /> I V i <br />