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Rpr 12 11 01:26p <br />i <br />�rn al1 � 1J1►� - T1-�_h S�n @ ��?���IU �1�So�}�,-� � C.Or►`1 <br />ELE:CTRICAL PERMIT APPLICATION <br />C;ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9fi201 <br />425-257-8810 - F/�C 425-257-8857 — wv�^nr.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />2�31 �ra�l V�Ia �� � <br />PROJECT ADORESS <br />ler��nt <br />Eleclrical Contractor <br />� 2y3� P�rc�l ti�vaU s�-_. <br />Mail Adtlmss <br />Mait Addrcss <br />_�� s. <br />Mail Addross <br />N����1�►�st>1= <br />Slate Licansu Num6cr <br />Proposod Usu of Building <br />.k <br />City <br />SlalCfZip <br />cay s�atGzm <br />,►� S�-� °l�lo�C <br />Cily <br />of Work to De Dona: �, `� ! v 1� `�_I Y��_ _�" <br />NOTE: WIRING IN NON-DVF'ELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, IdC OR AC CABLE. <br />SlalelZip <br />�IU, DU� <br />Phono <br />Phono <br />�� �1��1 <br />Phono <br />p.l <br />Contract Price o1 Work <br />�:rvo�h � ns� <br />Contact Person (Plan Rovicw) <br />�� b�� � � `✓� <br />CITV OF EVERETT I.00AI SAI_ES TAX CODE IS 9705 <br />11»roby cortilylha( I havo read ;�nd oxamined this epplication and Anow tho seme to be fnre and <br />correct. �II provisions ol/a�vs m�d arCinan.;os ,qoverninglhls (ypw ol wuik will Gn complefed <br />whefhcr specified herein or noL Tho yranting v(a pemut do�s not presume to give aufhonty to <br />violetu or canco/ fhc provisions u/nny ofhcr sfato or local law regululing cons(ruc6on or thc <br />pe�fommnce o(cunsf�ucfion. Th:rt I am atdhaizeJ by Ihe ouner-o/fhis property to porfonn fhe <br />wnrk lor �vhich applica(ion is ma�1e anJ 1 compry wilh fhe Slsle Confracfors Luw 18.27 RCW antl <br />29G.200 N'pC. <br />��,�,L.�.�.�.�.. �! �i t �2011 <br />� <br />FEE <br />('���0�-(- d�� <br />