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!� u9•.. r y <br />ELECTRICAL PERMIT APPLICATIQN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.2e,�r.�ft.is <br />�'�a2.s Ev�izbz��.�. !�y "'�-Z-�l <br />PROJECT ADDRESS <br />�, ao-iz <br />C �aa� —a 5� <br />�T,c� �fl.eT.utiz5 i D . �� �Dd� .�� -c,c � vcc � 9�DD9 <br />Owner Mail Adtlress Gty State/Zip Phone <br />�.33 30� �ya �'s <br />QunLi>' Y �t�u�A.c3 %�o7S �✓E26�2L'�.0 4J.9-�! L✓Geta'r ��Po7d/ <br />Tenanl MeilAddress Gty SlatelZip Phone <br />� <br />�.Curr�,� os/csivs i.uc 9D9 �.a?d' -`�" Ti9�'o.ca/1 9�Y09 �53•'5�73•..38� <br />Eleclrical CoNreclor Mal Address Gty StatelZip Phone <br />J�-��*mBSiD 7> 0.5 <br />Slale License Number <br />/a�.�- F�d, <br />Use of Building <br />.�' /�3 D <br />CoNract Price of Work <br />�O,v,yif��?s3 •'�`73 •33a3 x.cS <br />Conlacl Person (Plan Review) <br />Descriplion of Work to �c Done: �SsDQi-( U� �%�c� �-I' u�/./%'i .L��-/��5 li/f/� <br />�/6.v � �)(iSTi.uL: �DuJfiC• �J/.6�u ��.CCri��.�5� oTriYiES _ <br />NOTE' WIRING IN NON-DWEL�INGS IS REQUIRED TO F[E <br />BE IN RACEWAYS, MC OR AC CABLE. ou <br />�sd <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceAily Ihal l f�ave rnad and examined fhis applicafion and know (he same tn be fa�e and <br />comecf. �111 provisions ollaws and ordinances govemrng (his type ol work wil! be compleled <br />whefher speci(ed herein ornoL The yran!iny oI a pemut does nol resume (o givc auffionly lo <br />viola(e or r.anr.el fhe provisions ol any ofhersfale orfor,al law reguPfing consWcf�on orlhe <br />peAonnance ol conslrucfion That 1 arn authonzed 6y fhe ow�mr o/ fhis property to peAonn Ihr. <br />wod<!or which apUlicalion is made and I comply wifh the Sfafe Conl�aclors Law 78.27 RCW and <br />296200 WAC. <br />� IZoI -o5g <br />