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� <br />� <br />ELECTRICAL E'Ef�ii�i�" �� �u-�'�;�:A�T�ON <br />CITY �F EVERETY P�RM!T WcRVICES <br />3200 C�DAR STREET, EVERETT, V�lA 98201 <br />425-257-8810 - FAX 425-257-8857 - vn^rvd.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />78b0 E.�u�re��, (N�,.-� <br />PROJECT ADDRESS <br />� �_�3 <br />� /3dl -b 2 � <br />�v-�[,w �1G �.�tv�G �v.i ye �j_ � F-�t�Tc, ii� F,.x�e-i* ti'h �j i'�2G����?L�iU� <br />Ov;ner f9ailAdCress Cdy Slate2�p Pnone <br />i�{ u� c., o� E.�ret{ 't tuu c�r��; r�zy. tra y r-��c� v�� k 02o�s �r+z,� ZLi - 5ua o <br />Tenant � tda�lAdtlress Cdy Staie2p �"�or.c <br />�Imv� (,n�tter I,n�. I�J Fio• 3kU1 L���y lrn K�S�`i (�5(��)1f�1,-o4a� <br />EICCI�iCeICO�VeC�o� 'la�IAddrzss City State2ip Phonc <br />1�I��CLW Gi � �i y'i �' <br />State L�cense Vumber <br />�•,Lc:t► (rru�, �CtilclSl�•,p � <br />Propused Use of Building <br />r la <br />Square Footaye Qf residential net•� construction, remodel or adddion) <br />`}� �l kS u o <br />Conlracl Price o( Work <br />�G� UIS U� <br />Contacf Persun (Plan Review) <br />Description of Work to �e Done �Jj� J Lk Q- 1HSt k�%[4 E5 L_cu�_��� �nu'^•�!✓ _ <br />'�lc �C: r n 5�ai v� S.a 4�C.r� , — <br />1�,.,,.- ; � <br />NOTE: WIRI�IG IN NON•DWELLINGS IS REQUIRFD TO <br />BE IN RACEWAYS, NiC OR AC CABLE. <br />CITY OF EVERETT LOCHL SALES TAX CO�E IS 3105 <br />I hereby ceRi(y fhaf 1 have read and exammed fhis appOcatron anJ kno�i tlre same to be Vue and <br />cnnecf. All provisions olla�vs and ordinances goveming fhis type o/ �vork �•nll be completed <br />�rhether specfied herein ornoL The granLng ol a pannrt does nof msume !o give authority to <br />vio/afe or cance! fhe piovisions ol any o(her s�ate or fecallaw myuPhny consfrucfion or flre <br />�eAonnance ol consWchon. Thaf 1 am auf�honzed by (he ov:nero/ th�s roperty (o perform fhe <br />�vork lor ivhich applicafion is made and 1 compty ��n(h !he Sfate Con(racPrs La�v 78.27 RCW and <br />296.200 NlAC. <br />.7 <br />fEE O�� <br />� <br />�13o1-Oz� <br />