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lu1. 24 20i� �, � ;�;?�� ;�.��� ,, . , �... , � _ �;,. 01 '�` °.
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<br /> ELECTRICAL PE�RMI1`-:APPLICATION
<br /> CITY OF�EVERET;T pERMIT SERVICE°S . '�
<br /> 3200 C�DAR,STREET, EVEa�I'j,Wq sa2o� �
<br /> 425-257-8810 - FAX 425-257-8857-,yh•N✓.everet,wa.org
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<br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM
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<br /> PROJECT ADDl2ESS
<br /> � Owner hla�i ACd ess
<br /> C�N Slate/Lp Ppcne
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<br /> �en 7 . '�.`��ty ' Sta:aZo' �no�e, �
<br /> Onr��o��fic ' ��� l' �/����r�,,� ;�PCP��-- �'�'�1B?ol 4�� �L�,S
<br /> EIu,,Ui.,al Ccn'rar.tor � .�Ma� .v.'drm�' - . Gry, ,. , . . ...Statr.r�2. • � Pn-^.s .
<br /> ;S�r�1 � P����� �7 . � . ' � / , . ; .
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<br /> State L�cense Number „ `Ccnp'act f�rice of 1Nork
<br /> � �(-�.�CS� ' �� �.5h�z ' '
<br /> I P�opusnd Uso of 6uildinp COntaH Ner,cn (Plan Revietiv)
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<br /> I Descripfion ot Work lo Be.Done: ��Y� � �V�S�}L, <���(f�f�% ,��� ��(,Y ��_
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<br /> NOT[: WIRING IN NON-DWELLINGS IS R[QUIRGD TO FEE �
<br /> 8E IN RACEWAYS, A7C OR AC CADLE. I� D p
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<br /> i CITY OF EVEftETT LOCAL SALES TAX COD[IS J105 •
<br /> f hereby cer7Jy that 1 have mad snd examinuJ fhis applicafion anr!krww fhc same to be true and % •�
<br /> rorrecL AN provlslons ol/aws and oidmances goveminy this typo e(mork�vr116e campletetl �
<br /> �vhMhe�speclf,ed herem or n�t. ha,qrenGny ol a penn;f doas not p�r.sumc!o prve aidhordy to �
<br /> vrol,afer,r,nr,celthe Frvvi�ionsofanyotherst�feorl�ca//a�vieilu/al/npconsfnrr.(lonorthe , ,�(rfn "7 _ nl�
<br /> performnnce o1 constiuc6on. 7hat I am�uUionzed by the enner of fhis preperty fo pe�?umr!ho � t -( � � v
<br /> I �+�ork�or u-bich applrcafion is made and I compty ivith 1he Stat� Contr�3ctors Lew i3.27 RCW nnd
<br /> I 296.2 L1�AC.
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