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� <br /> EL��TRICAL PERM�T APPLICATIQ[�1 <br /> ' � GlTY OF �1/ERETT P�R�IftT S�RviCES � <br /> 32Qd C�DAR STREET, EV�RETT, WA 98201 <br /> 425-257-8810 - �AX 42�-257�8857-www_ever�tiwa,org <br /> APPUCATIONS ARE ACCEPTED f120M 8 AM TO 4 PM . <br /> � � ����� ���������� ���� � <br /> , <br /> PROJ�CT ADDRESS � <br /> � • <br /> ���� 11�1� ��� -� � �'�"7� 2� ��� l �' <br /> Owner ail Addreaa City p PhOnO <br /> �6v . <br /> Teft8l�t Mail Address City State2p Phone <br /> ��� ^ � � � � e s.� �� �� ������ <br /> EfeclTicat COntr�Of � tutel!Addrass " City S(aterC� Pftorie <br /> � i e� �5 a oa <br /> te Lioense 1Vumber � ��' °f W°� <br /> � � � � �! � � , <br /> Pr Use of Bcsl g Contack Person ( Rev�ew) <br /> . . <br /> Desaip5on of Wortc!�n 8e Done- <br /> Q �� � �� <br /> NQTE: V111RING fl�f NON-DWELL[NGS!S REQUlRED TO �� <br /> BE IN RACEWAYS,MC Ot2 AC CABLE. <br /> CITY O��VERET;LOCAL SAI_F_S 7'AX CODE iS 3105 C,� <br /> f hereDy cer�fy ftiat f hav�read and�emined this appJicatfon and know the seme to be 2rue and �— I ��j �- (� � �J <br /> comecf. A�l provis�ons of la+Ks a»d ordinances gouernil�g thus type of work wr!!be com�lefed ��� <br /> whether specl�ied he�ein or not. 77��gran6ng of e perm�t does not presume to give 8 fi�orfty to <br /> vivlete or cancel the provfsions of any other sfate or lvcal Iaw ragu/eting cC�nstruction or the <br /> performsnae of canstruction. Thaf 1 am authorizee by the owner of thls propsrty to perform tf�s <br /> work for w�rich applicatian i made and 1 Comply wdh the Stat�Contractors Law 18.27 RCW and <br /> 296.2 WAC. <br /> � � �� <br /> 5iqn0Wr� ate <br /> l <br />