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.... . . . . .... � . � <br /> ..,.-.-•r =- -.. _ .. .-- r-:-- - _.�. � •:-.��._..::.-.�.v,». <br /> . .. • � ... i . . . . . :..Y � ��_�� � <br /> 1 � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www,everettwa.org <br /> HF�PUCATIONS ARE ACCEpTED FROM 8 AM TO 4 pM <br /> �21 �a4o.�, �,yP � -s <br /> PROJECTADDRESS � <br /> �D•,BDx 3 70� ��'a�� �v9 -ri'�ia sl��o� 1,�5-.3.�a��i <br /> �'�o� Meil ACdresn Clry SUtplZip php�a <br /> 7enant Mtil Add�ess <br /> Cl�y St�I�2iP ' Phmw <br /> ��o�a-f�lJ B� 5� �.,L�i�h .,V.�,� 98a7s ���� �67`L_ <br /> Elecfrical Cnnlradnr Mop nddnas � <br /> City StatrJZiP Php1! <br /> ��F2�c98s/a �. foo <br /> State Ucense Numb�r � Contract dce of Work <br /> Proposed Use o�Auilding Contact Person (Plan ROvf�wl <br /> DeScnplian of Work to Be Done: �Yii.CxlcLx �B1/�' ,���-�i v � ti.x� � <br /> —_�'� � <br /> _�r�,c ��iuN.,�►,�, �, ,� 7r�F�'r�C'��o <br /> NOTE. WIRINC, IN NON-DWELLINOS IS RE�utREO To FEE <br /> tit�N RACEWAYS, MC OR AC CAk3LE. p <br /> -�8/ ° <br /> CI7Y OF�VERC•Tf LOCAL SALES TAX COOE IS J105 <br /> !hr.rCby CeRily tllif 1 hBve Iear}and eraminrd thir ApplicaOCn end knuw thp syrnB� �ae hue anC <br /> carecc Ail prows�ons ollaws and ormnanc�s govemmg this type o/work will Oa complelae <br /> whetlic�spoc�Red hercin nr not. The pran�ng o(a permd daes notpresume fo givo euthonty to <br /> violale orcancal the provlsions olany ot�er state orlocallnw roflu/afing tonslruchon or the — � <br /> pOAolmdnce n1 mnstiuCSon. Ty�t I am authOd2nd 6y thv uwner p(tAIS"propBrfy 70 pEAoTt fhe <br /> work lor whiCh appllCation i5 made 9nd!Compty wrth(he$tate ContractorS Law 78.27 RCW and <br /> z�s.zoo w��. 3 <br /> ,��,� . <br /> , a-o� <br /> --� S� natule Date ' <br /> . . ...,qpL-�-.. ... . <br /> �YM.- . . . ..� ... <br /> . e°•,. � ����a,. ., �.� Ji'.���1.`-• �.. . .. . .. <br /> .L..�"� ... ...�R .:::n�.rpi�j$ .• <br /> �n/Lu 35'7d NJIl�ilylGNO� 1b213N39 � TTCL99LSL7 tL �9T , 90�Z/90/70 <br />