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I_15;'0'�!2{701:i 01",;[�7 2llfl'f_�73077 AUTfIIdATFD Ef�IIjPF{ENT FAGE kJ2/0: <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE[T, EVERETT, WA 98201 <br />425-257•9�10 - FAX 425-257-0057 — www.everettwa.ory <br />APPLICATIONS ARE ACCEPTED FROM 9 AM T04 PM <br />_���� � " � % .S <br />PRUJECT ADDRESS <br />�- _�-- �fi <br />`� . <br />1-n.5'n_� n� ; <br />?-�'� ' f`S`i i fl� <br />�,1-/.�t,,� ��:c' � civ.,� � � C` 3.S%J� 5/S� �r-,i.Lo %/-J e Gv � 9 P�_ <br />Owno� M81IIUfAT66 Gy SIn1�Zip Phone <br />TC�3�� ldpllMtlrcen C�N Jtn1UZi0 Pnoite <br />�1 ` -, ZGYci b� %O SCJ <br />L <br />f_Icctrical Contr��(or / � Mmi naa�eas <br />�/�,./�.-,�� 95'3f�/c- <br />S�tVe Llcenao Numbar � <br />£ ., �(/' --. / <br />%'~�L�/�-!J _� <br />Proposr.d Use of Huil�ing -� <br />ciy <br />ir:.�`� <br />Slala2ip Phone <br />/� O�p � <br />Coniract PrIGB OI WO�k <br />GOntact Person (Plan Re�in,w� <br />Uoecriptiun o1 WorA (0 Bo DonC�. v�J ��/ 7 [�j¢ � �/. Cy�� 5'-y S,�i�L/1 <br />I <br />NOT!_• WIRING IN NON-DWELLINGS IS RE(�UIRED TU <br />13E IN Rl10EWAYS. MC OR �C Caf3LL. <br />CITY OF EVERETT LOCAL SAIES TAx cOo[ IS 3705 <br />I herchy certily th,�l / hd��B rOnJ �nJ erammcNl fhis epplicnGon and know the samo M be Nue end <br />rovect AIl proVismnx nllsw:: and prdqances gn�erninQ fhis (ype ol work wiU Do cumpleted <br />whpfher spec:fidU heruvr or nnt Tlrn qr.inl�ng p/ p p�ermd dues nOt nfe�umr, ro p�v�i aufho��ry fo <br />vm�nte ar cnn�vl (he /),TviSmns o/ A9}' Of110! stvfe or loc��l l�K• mguleting eansVucfron or fhr. <br />porfominncc ol r.ons(ru�Non. l haf I �m nuth0�iad by fhc oH nur ol th/5 property fo pd�/onn fhe <br />ntrk Inr whiclr nppn�;�tlorr rs mnve nnn I comply �cdh Ihc Snte Gonfractors Lew 18.27 RCW and <br />?9ti 700 W'AC. <br />FEE <br />J =2. -b�' <br />�a�� --- 1 ���,��� ��3 <br />