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Jun 11 07 11 : 27a P• 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> Q25-257-8810 - F�C�25-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBR& CREDIT CARDS ARE NOT ACCEPTED <br /> l! / � C e!,a ,�'�Jl/� �J1S <br /> PROJECT ADORESS � � <br /> /�1 �k� ,ST/l�M M .��.'�b (y�-$f' d�.3� FC .ZU � ��'3� <br /> Owner M,ail Addres5 Ciry State2ip FhOne <br /> 7ananl Mail AdCresL Clry Slete2lp �� Phone <br /> ��if ��1 F�. .fK.s 3�'0� FlI �0-1,[ 'l�fi 94'�a i 2 S9 Z/G/ -- <br /> ElocttiC01 ConiractOr Mall AOCress � City Sfato/ZiD Phone <br /> �l'4fN c'/y.� �/' <br /> State l;Cense Number Contract Pnca of VJork <br /> JF/� - <br /> Proposod Use of Budtling COntacl Person (Plan Review) <br /> ,C dD � e4 <br /> � DescripUonofWarktaeoDeno: ,fViC � s�,el//G� ✓( . l�(3lJ�� I�'�W�R+` -3'r� - <br /> � <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> B[ IN RACEWAYS, MC OR AC CABLE. [�� O O <br /> � <br /> CITY OF EVER[TT IOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify(hat 1 have��d and axam;ned rhis applic[+(lon and know t6o same fo be trve antl <br /> correci. AU prowsinns ollnws and orclinnnces goveming Ihis type ol wark wil!be compieted <br /> whetner spec�Ged nere�n or nct. �he Bron7ing ol a permd does not pm.sume to give aufho�ty fo <br /> vlo(ete or caneel the prowsior.s ol any othvr sfote or locaf low re9ulntirg construcfion or fhe <br /> peAormancn ol censiruNion. rhat I am eu;honzed by fhe owner o/ihis oroperty fo peAerm fhs <br /> u•orY lor which app�ication is made anC 1 crm,ply wifh the Stafe Contrsc:Grs Law 18.27 RCW and <br /> 2A6.20U V/AC, � <br /> ��� � ii � <br /> „i'�03Wf0 � � <br /> ��d�n_ S 3 <br />