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12/22/2005 07:54 360 18578 NORTHEP.N LIG�T _LECT PA�� �� <br />� � <br />ELECTRICAL PERMIT APPLICATfON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 5820� <br />a25-257-8810 - FAX425-257-8857–ww�n'•everettNa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM 70 4 PM - DEBIT 8 GREDIT CARDS ARE NOT ACGEPTED <br />�lo? � ���Gr � � V� <br />PRO.lEC7 ADDRESS <br />Y <br />ormer <br />Addreu <br />:�1 <br />Clty <br />TOn�tlt Muil Atldrew City <br />I'✓o �^f/Jt ✓N /i�5 h7 l��afr�c. �i� c. <br />ElectricalContraetor ilAdarese Gti <br />Stite License Nurt.tor <br />ProDoud Use of Buildirg <br />Deccripiion of Work to Be Dane: 1�t%/ /� { ,j�µ%�Je �C <br />NOTE: W�RiNG IN NON-DWE�LINGS IS REQUIR[D TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />_ StatJLp Pnonc � <br />i <br />I <br />— - -�' Snt¢Zp Plronc j <br />i <br />SanZP Pncno <br />ConUact Price af Woric <br />i <br />i <br />Conract Pe ,on (Plan Review) ; <br />C1TY GF EVERETT LOCAL SALES TAX CODE I3 1105 <br />f herrGy certih� fhaf 1 have read and oraminotl thls appllr.aUon and knpw the sama fo 6s truo ano <br />corracc Au provinons o! iaws and ordlnances gov�mmg t6is type of work will De completud <br />whelher spec�ed herem Or not Th� gnrntlnp ol e parmit Anes net �osumc to give oufheritp to <br />wolate or eencal t�e prov�sions olar.y other sfata or local law regu�tln9 constiuct�on or the <br />perfamance o/ cnnshuctlon. 7hai 1 em aufhcnzed by fhe owner c/ this propa7y to pedcrm fhe <br />wak Por which appliCot/on Is „iade antl I comply wifh the Sfafe Contraclors I�w 1 B27 RCW and <br />296100 WAC. <br />irFE I <br />� <br />I — � <br />�_ [,nl'- 1���� <br />- . �, , , U.. �� <br />�-� <br />IIo <br />