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JLRJ-6-2005 14:22 FROM: ` / T0:142525788�'T P.1 <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY �F EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425•257-8857—www.everettwa.org <br /> APPLICATION�ARE ACCEPTlD FROM e AM TO 4 PM •DEBIT 6 CREDIT CARDS ARE NOT ACCEPTE� <br /> 2�([v f_,�o(4 r f�' <br /> PROJECT ADDRESS i �J � /� T�� <br /> Wl�'l� �e.s'n� ��{�a G�lar J'�" �:_u-e/�-� 4�� � <br /> OwnBr Mail Addni� Clry S�U/Lp Plwn� <br /> TBnent Mall Addnu City SUta/Zlp Phone <br /> ��W�t � • r�<''f-`�,'P19s �'� Z�L `�'`7�0 <br /> Electricel Contredor Mell Addraa Clry 9uq2ip Phom <br /> c�ara-r��9��d0 <br /> Sbto Llcenea Number Controot PAu o1 Work <br /> Propoeed Uee of Bulldinp ConteM Pereon (Plan Review) <br /> Deecrip0on of Work b Bs Done: ���� <br /> �A-0 0 rcA 5 � 'LD A bU !) G rc �► -F �O V <br /> -, �'-�' ,A'� <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA7(CODE 18�105 <br /> 1 here6y certily fhaf 1 have�eed end exemined fhfs eppqcalian anC know fhe same fo be Irue end <br /> correct. All provlsions ollews anE ordlnencea povsmin fhis fype o/work wdl be completed <br /> wnefher apeclRed herein or nof. TAe prentlng of a psrm9t UosS nofp resum�fo B�eutAoNty to <br /> aolafe or cencsl the roviaions ol an other slete oNxal Nw ro W�tlnp consfructlon w fhe <br /> peAormana ol consPrucnon. rnsr r Xm surhorizea Oy fhe owne�ol this propsrry to peAorm f�e <br /> work lor wAlch spplicellon is mede end 1 comply wilh the Slafe Conhacfors Lew iB.77 RCW end <br /> 290100 WAC. � <br /> c,u.�- n � 4l� o f' <br /> n�wro �u <br /> �v ' ` �Co �� <br />