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i _ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT NERMIT 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 /> �.000 TowEc� str�T C�aMP�>> �����er ��:�1\ <br /> PROJECT ADDRESS <br /> EVE'0.E�\ COMMJN�\V <br /> Co��EG�c L�aJZowEVIS�. E,JE'�E.Z� Wa �t�1`'� 415-3�,�`951 <br /> Ownef t�lailAddress Gly $�ate�Zip phnnn <br /> S►�hF <br /> TC��.lni 1.1:ulAddress Ctly Slale�Zip Phon�: <br /> c�1.1EAG�r� �Ec.�, k5�s��q��x.�lk�r 5�5���eWo QEt�'CO�I WA4�i0S� `��j-7���.•1�� <br /> EleClriCUlGonireGlof Idaill�ddrnvs Ciiy S�N^2ip Phonc <br /> caN�fE��9€4��l `����L ��g� <br /> State License Number E t ���.A(. Conlract Price ol Work <br /> e��ae t��A'�� �eoa�� �� M��cS Cy�.S-�6�•��3�� <br /> Proposed Use ol Ciuilding Conlacl Pcrson (Plan Revlewl <br /> Drscripliun o�Wo�k lo E�r�onc: P4�p1�[ ,O �(\'(�-� �Lp1�•� ` �N�;L �E.�� 0��'�C`G'�+-F 1 �A 111't <br /> Ea10�Jc��E�'� WPPEU'C ZA��'S GR��SN^C �1N�Tp1G\J'(�E'Q� C��c� OE�ICC� A^�� <br /> G v�^,�F o �E _ \� �\'�� SP+J`�E <br /> NOTF: WIRING IN NON-DWELLINGS IS REQUIRED TO FE[ <br /> 6E IN RACEWAYS. �4C OR AC CA6LE. <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ce�tily Ihn,l I have iead and examined this applicallon and knrnv the sFime fo 6a f�ue and <br /> canect All provisrons ollmvs and on/inances goveming this fype o!n�ork wdl be completed <br /> �:hefher specilied hcrein or nol. The granbng oI�perr,ul does nol presume to give oulhority to <br /> �iolale or cancel ll�e provisions o!any olhe�sfafe or local la�v regulafing construcfion or Ihe <br /> perlormance o/consfnicfion. Thaf 1 arn�uthorizeAGy fhe o�rner o!Ihis property to P���rm Ihe <br /> �vnrk lor whicir applicafion is rnaAe and 1 cornply u�flh fhe St�rte Cnnlrar.fors La�v fA17 RCIh�and <br /> 29G.200 WAC. <br /> � S�atu��1 ��t1� Jl) — <br /> E�3 F�� 6J5 <br />