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I''�.Hi-T-��J13 �j3:�:�+ FFJI^:�ii...l_ FLE:;TR:C-F'/i.F'tT S��-�_2-29:� '_':4r':�c` :E.=4�7 r. 1 �: <br /> � • . <br /> � � � - ------- '—�--- - -�------- --- <br /> . .- ---- - - .' -._._ . .- ------ � - -. _'_– <br /> i <br /> i <br /> i� i ELECTRICAL PERMIT APPLICATION ' <br /> CITY OF EVERETT PERlVIIT SERVICES I <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425•257-8857 —wv�nv everett�va.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br /> I <br /> ��0 2 �l b., A�4 Su.T� �a� <br /> PROJECTADDRESS <br /> I <br /> 0•.vncr MailAddress Cily SteteiZp Phone <br /> CI��Cl9G-o IlTu_� �vo� C,¢�/3y AK! Sir Jw �u�,Qw�r Cvr� '3$.tpl <br /> � TCnanl <br /> h"•a�IACOrass City Sato!Z:p Fhcro <br /> � .�rll �C�crrec� 3`to? �1cda,..LNtI i1v.E Fw.eET w� 9�1a� y.zi•�i.t -��oo � <br /> ElectricalContiacicr M�ilAddrose CAy Sia;c2ip Pnono I <br /> !4�at,�F � 9.24 sb <br /> ���« I <br /> SfaZe License Number Conlrad Pnco ofVJork <br /> I <br /> Proposod Uso ot�uliding Contac�Porson (Plan Reviow) � <br /> � Squara Footage(II rasldeMlal naw consiruclion,remodel or atldillon) <br /> I <br /> IDescription o(Work to Be Done� _ � G �� �ui2 C���_ i <br /> I <br /> ------- --- I <br /> I <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRCD TO FEE <br /> BE IN RACEWAYS, MC OFt AC CABLE. ^� � I i <br /> ��� I <br /> CITY OF EVERETT LOCAL 9ALE9 TAX CODE IS 5105 `l i <br /> 1 hort36y cort�ty fhat I hnva rund unJ u.undned Ihis nppliceflon und knu�v Iho snmo fo 60 lrue end �� �O I <br /> cont�cl. All piovisiais olla�vs and oromancos govommg fhis type o/work�wll bo ccmp/o(ed 5_ �3g <br /> wholhur specdiud h�rvin or noL Tho gavnfing oI o pe ,m�f daos nof p�nsumo fo g�vo nuthonry(o <br /> violofo orconc�l fhe provisfons o!any oth,erstoto orlocal luw rpgulofmg tonsLuclion or the <br /> yurforrnunco o/c�nslructlon. Tha!I am eu�ha�zod hy tho awnor al thlsp roporty to peqorm fho <br /> �rork!or which opplicalion is mado nnd I co;ripty u��fh!ho Sfato Confracfors Low 18.27 RCW and I <br /> 296.200 WAC. <br /> - �Co � � ,J I <br /> Sipnature oalo ' <br /> ._ ....__—_____--____—_.— I <br />