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f <br /> I _----------- ----- ------ <br /> i <br /> I I <br /> i ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EV[R[TT, WA 98201 <br /> 425-257-3810 - FAX 425-257-8857 -www everetlwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i �:��41►lG,-- �S� (�� -- <br /> - - -- _ <br /> ��(��_ <br /> PROJECT ADDRESS <br /> �EintG s►�nMlr�l2uA�_.1-111�P�►��. C�y�-�Y���'CT--�-�`�- --- <br /> OWt1Cl L1�nlAddir�.c Gly ilNlcllip I'hnnc <br /> '. __ ___ . . . _..__-__.-_-____" —___... — _'__—_ <br /> �CnBM MeilAtlAirs�; ��ily ti4tlMhp �'honc <br /> -�-_—+�_ U�A��._�2�sc.���"coW�T nl� �v►�ne..��_ V�d �(goS-� <br /> � IBC�nC:ll C)Of1bBCW1 hldil Adi]resS Cil� Slnlr�'q� �'iinnr <br /> I <br /> S� [S?�-1 C�F�-q`i-�S ol _ 3 g �° ° • °� .--- - <br /> L----- <br /> Slate l.icense umber Contiac�Pn�e ol Woik <br /> Pinposed Use of t3wlding Contar,t Person (Plan Revie.w) <br /> � <br /> Uescnpt�on ol Work to 6e Done ��S"tMt-� 22S �hNe�-6U Qfl GQW IT _ <br /> _-�--------� ��-, - <br /> I —C�-r.o.,��z _�_Z s _Ky9- �r+s�sw�a2 _-i r s�.�e�d --- <br /> , � - ` — <br /> I Z- ��yJ C�or.lT1�-l�+u•S�="-►�_�i1bNS_N`oN1TeF�►.1.� �C'f72�q <br /> -- --- ------------------ — ----- — <br /> � <br /> NOTE WIRING IN NON-0WELLINGS IS R[OUIRED TO F[F <br /> �E IN R�CEWAYS. MC OR AC CAE�LE ! <br /> V <br /> ,�• d� <br /> � GTY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> � I hu�oby cmtrly[hat 1 have rcad�rnd c+nnunnd INs npphcahon ind know tho samu(o be hur and <br /> ra�rocl All piov�5�ons o!Imvs dlnd orrhrmnccs yovc�ning flrrs fypo ol work tvd!Go cornplCfoA <br /> �tiiiafha sper,dieAherora nrnof Tha rur+nfrng ol a PennA daos nof rresuq�r.fo grve au(honry lo <br /> ' wol��to o�cnr�col fhe provisuns of any olhn,r sfafn or locnl la�v iogu�afing conshuchon or fho <br /> I ��n�lonnanco ol corrshurhun T'ha!I arn nuLhou7od by fho ou�ncr o!fhis proporty(o poAoml fhe <br /> i �tnrk lor Whrrh.�pphc,Vmm�mndo and I rinnply�•.dh fhn Slalc Cnntr;ICforS Law 18 27 RCW nnd /� <br /> '�. ;'9620j�WAC / <br /> �. ' � i � � �� , �� - ��� <br /> , o�. . _ 5 � , � <br /> s�����:�i� �� i uc �� , � <br /> �-— <br /> � _.._— -- --------- — <br />