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. . �. 2 ' 2 , ii�4' <br /> vo. 2�99 4 <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.everetiwa.org <br /> ( — `'j — IZ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �_ / ��/�a� <br /> 2313 ..��X S�' �� °IQ�201_ <br /> PROJECT ADDRESS �W�� <br /> , loh�, E�-}�n Sarne .,< .: h„�p. _ ��1� 85 <br /> OWf18f M�II AUdross Cily <br /> SIAIe/Zlp Phone <br /> Stete2lp Phon¢ <br /> TYttYnt Mail AtlOres1 �'�Y <br /> `�n �ea-�i r1r 1 �o v� _ 612��it V�fFG82A► �Iz5 25�1�dobf� <br /> ElectfiCB�COntraCtor MillAddress Ciry <br /> 51o102ip Phone <br /> ('(YIIkE�M�qO�Qq' .c��0 02� <br /> $lele License Number Contrect Pnce of Work <br /> Proposed ae of Builtling Contact Pereon (Plan Review) <br /> Descnption ol Wo�h to Be Done: ��C]� � �^� ��� ' '" "- — ��`��� <br /> NOTE: WIRING IN NON•DWELLINGS IS R�QUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. � oUU <br /> GITY OF EVERETT LOCAL SALES TAX COD[13 7705 <br /> I horeby ce�t�fy fRet I havo�ead and exorninotl this app��cafion and know fhe sam6 to be fru9 and � I,ZO I_ O I � <br /> cor,ycl qq provisions ol laws end ordmenr.es governing fhis type ol work wl��be complefetl <br /> �vhefhnr spocilied heiein or not The granhng ol a permrt UoAs notp resume to qrve eufhority fo <br /> vlolate or cancel fha P�ov�e�ons ot eny ofhe�s:ate or local law reDuletinp conshuchon or fh� <br /> pedorrnance o�censl�uchon Thaf 1 am eufhonretl by fhe ownel ol fhis property to pedorm the <br /> 296k2SO WAC.Bp�6cafinn is made dnd I cornply wdh the Sfafe Coqhacfors Law 19 27 RCW antl <br /> ' 1,� 12.. <br /> S�qn ure �� ee <br />