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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-eA10 - fAX425-257-8E157—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��1?'� <br /> � a c � . ����� �a 3�� <br /> ROJECT ADDR[S3 <br /> OwnPf Mail AAErr,ss Cfly Steta2ip Fhme <br /> ��� � ri� �� J`la`� �"-1�e5�-�,u�51-• �,���EI- �.z�lz �aoj � 5-ash-�sac� <br /> Tennnl Mail AdAres6 Ciry Slnte2ip Phone <br /> /'i�1c� ��� ��icC d�33�si-r��- S. �105 S�,�Jf� w1� 9Y��y a53-�oy-5s6 <br /> Elr.ctdcal ConlreC�o1 IAiil Addrese City SlntrJ2�p P�one <br /> �r <br /> M�pE�zr61 ��' -- `31 �3. UO <br /> SLNr Licnnse Number Cenfracl Ptice of Wo1k <br /> Prpposetl l'1, ,�tling Con�atl Penon (Plen RevleW) <br /> DeStrlptlun ot Wark 1u de Drn�e: ��� �3�^(il Y�I la - �^.2 r� <br /> Comm P r c�a � 9' 1 v�o!�.s�r i�a' �,�rr' �� � - — <br /> NOTE: WIRING IN NON•f3W�LLINGS IS R[�tJIRED TO EE � <br />. DE IN RACEWAVS,MC OR AC CABLE. <br /> CITY OF EVFRFTT LOCAL SALES TN(CODE IS.1705 �v � O L' <br /> I haroDy certily fh�t I havr,read antl exam,nr.A fhis apphca0on and knnw the sam�tn Ae INB antl <br />' cnrrnr,L All provlsinns ollnws ann nrclinan[¢s unveming Ihis f ypc+o/wonc Ndll br. r.nmplefed �j1C�� _ I�L_� <br /> whr.fher speufietl hnrnm a�nnf 7he y�anpng ol x pr.rmif does nnt pIRSI/I118 IO QIVP. 8fllllOfllY IO ,_ � <br /> vi0131e rn cnnc J fhe pr�vrsro ^n/any ofhr.r stafe or loc.l lnw repulatiny consfri:�f�pn or tbe <br /> poAomi �cA r.nn�tvrNn ihnl I nm auUon�etl by the oK�ne�011his pNporty fp pCrR7rR1 fhe <br /> work foi wbic nppl�cm�on made antl I r.omply w�th the Sfat�Contractors Law t8 27 RCW and <br /> 296 10 W ,. <br /> /. � _ -J�y-/ <br /> Sgnature � � Dale <br /> I <br /> Z;j;a�rd L588L5�52bT ��l 6L?65t988C dN���10�� £b�80 TT02-b2-`Jlltl <br />