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SEF-OL-c009 00: 18 From: To:2578857 Paee�l�l <br /> I <br /> �'. <br /> � ELECTRICp►L PERMIT APPLICATION <br /> ;� £ITY OF EVERETT PERMIT 5ERVICES <br /> ,.�`� 3200 CEDAR STREET, EVERE77, WA 98201 �— � —�q <br /> 425-257-8810 - FAX425-257-8857 —www.everettwa.org �OROc�`��/_ <br /> )O <br /> ' APPLICATIONS ARE hCCEPTED FROM 8 AM TO 4 PM <br /> c��� 7 CX�� �V2n�- <br /> PROJECT A�DRESS <br /> �� � Oa�.es � �.-e- So�'le, <br /> Owner A7all Address City State2ip Phaie <br /> � <br /> Tan2nt Mail AOdress Ciry S�aie/tip Phone <br /> �on�rol ��i� a�� l �'c��.�ern,ia �vPrP�- W� �iK?o► '�a�3655 <br /> Eicdrical Comractor Mall AOUiess Gry Siate�tip �nwe <br /> �So�uz i P ��'��D 7 <br /> Slatr. Lir.anse IJumber Contracl Price of Work <br /> ��i Ck� � .�1��� <br /> Proposed Use o;Building Conlact Person (Plan Review) <br /> Oescription o(Work lo Be Done: �,�1� v� I� �I.LCI^�� ���'�_ <br /> � C;bl�.�'6 � _ ��U;CGP S� — 0�✓ / �Z <br /> N07E: WIRING IN NON.pWELLINGS IS REQUIFED 70 FEE <br /> [3E IN RACEWAYS, h1C OR AC CABL[. <br /> CITY OF EVERETT I,OCAL SALES TAX CODE IS 5105 <br /> f hercby cortdy that!have read ond examined this applice�ion And kno�v the same fo be Vue ond <br /> E09c�� � �?�'�, <br /> correcL All prOvisions of laws nnd ordinonces govemmg this type ol work will bo cempleted <br /> whetNer spen/ied hcrcin or not. Tbo gronting ol o parmd does nofp resume to give autbonty to <br /> violafe er cancel th�provisions o!any ofher state or local law reyu/ofiny consWcfion er fne <br /> peACrmance ol construcfion. 7hat 1 om oulhorizCd by Iho owner oflhls property fo perlomi the <br /> nork 7ur uhich applicabon is made and I compry with tho State Con(r�cfors Lpw 78.27 FCW and <br /> 29G.2 WAC. <br /> �� � - I -(�� <br /> I iqnaWre Dalc � <br /> ��� c��2 . '.� �-S' �� I -a5�!� ��1e�-�- �;yr�� <br /> '/�� ` <br />