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11 29 .ODU 1J:J9 F.4S 1�l:SJDi00U0 <br />GEUUIS ELECTRIC <br />�oo: <br />E�EC7RICAL PERMiT APPLIC�4TI�N <br />CITY OF EVERET? PERMIT SERVICES �� � a5.�a6 <br />320U CEDAR STR�ET, EVERETT, WA 98201 <br />425-257-881U - FAX425-257-8857—www:evereriwa.org G O6lI--l�a� <br />APPUCATIONS 11KE ACCEPTED FRpM 8 AM TO 4 PM - DEBiT & CR6DIT CARDS ARE NOT ACCEPTED <br />� � <br />����,o U��!���1_�-, 1��,; L �;,. �a �✓z.t;f i�cv�.r��.� Cru;� .��- j <br />PROJECT ADDRGSS ' <br />Yf1 Y"1 �7�U_ <�TG111: �j l�,/ jr�-,C/) �Si,i��c:7- (;�� �J �L'eli� vif� ��:i�� arl,Y�' � j��.�C;'( '�_ <br />Uvner �.fail �fJre,� --T--- I �' <br />CitY Sqta(IIP p�� <br />Tr.nant <br />MMI Mdress <br />Elrctrical Cuntt�ctor � Mail MlOrrss <br />✓�l- lJ l�-l- r T � /! � ���/- <br />Slalo Liasnso NurnbAr —�— <br />� �7iS�ir; l 1;.� i, ��; �:'d�'c!l�i,G1 <br />I'ropusud Usn o� BuilJing ' - <br />Ocsr.riplron of Work W C�o Uonv: <br />�� <br />NOTE. WIRING IN NON-DW�LLINGS IS REQUIREU TO <br />E3Lc IN RACEWqYS, MC UR qC CABLL=. <br />City <br />Crty <br />d_ � <br />CIIY OF [yERE1T LOCAI SALES TAX COD[ IS 3105 <br />/ hcreby r.r.�li/y thnf f hnve �ead n❑d ex.�minud fltis appN�aGun an7 know thu <br />co�recC A/1 pr�vislons W l,�ws and orJucmccs povorning this type o! work w, <br />whalher syuclhed herrin or not. 7he pranlin� 01 a perrnrt da�s not vnsumn <br />✓iolalo or canuN 7hn prOvisions of any Othw stnta orla:al Inw ryyulntlny con. <br />pcAunnanc�+ ol eorr::lnictiwi. �hHf I arn errfhonTnd hy fhv ownH� oI fhis p�op� <br />work lur which applica!ion is mnda und ! cornpty wi(h thp SL�(e Confncturs L <br />296.200 WAC. <br />r. . <br />: i,. , i� . � , <br />. .:�_�/.P`1 � �� �_..JLI-.IA:'/���_ / I/.y-2II % <br />StatdZp <br />FIYYq <br />1/.- i - � <br />('f�i� ,!.i.)���I.J'_ iii�'V <br />Stile/ZJD � P�a�rr <br />f�`� '' E� `� C'✓ <br />'^. >�:�i� <br />ConU-.�ct Pricy of Work - <br />11 � n f �i ��'<<-ic1; •J <br />Contact Person (P�an Review) � <br />e to be W� and <br />cnn!p/eteJ <br />ve authonty W <br />6on ur fho <br />'o perfomr thr <br />ti.27 RCW ond <br />FEE <br />� <br />�0�:11-\�Z. . <br />