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P_O1 <br /> Fa�-21 -12 03: 19P � � —� <br /> —� � �"`— '—._ <br /> �— <br /> ELECTRICAL PE:RMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES �Z�n <br /> 3200 CEDAF�QZ5,�57 88,ry�7�WN'W8 e2e bxa.org `G�ZQZ`��� <br /> 425-257-8810 <br /> APPLICAnONS ARE ACCEPTED FRO�8�TO 4 PM _ <br /> _.—._�-- <br /> 3 S 6 C a _�.—E(rlE�t�'fr Y�'�' �{i f <br /> PROJECT ADD ESS �` �� <br /> S ,.s��_iL'iT-�ad�i Clt U�c/t ���.� <br /> P�w�r�C Cit Stala���p Plca�e <br /> �,�,� Mall AddresS Y <br /> Tr.n�nl -. ..�~ Mall l�ddroea Cdy � 5fale2ip 'I �Fhuno <br /> �cY4.kNa�a. ,Sr1t�t. r S 3�� .--'�fi. i14/ ��i �ili� r 9 •�./!/ <br /> GIeCt��a�Controctor MailAddrcss City . Statr2�p Phunc <br /> �I��o��v S r /�'.�L � _ t'i� " x � <br /> Slate llcense Number Contracl Price ul lNork <br /> �.A~C-�w�vrK <br /> ..---...._..... . .--- __...... ....-- <br /> Froposed Use ol Bulldinq Contact Pei son (Pian Rev�ew) <br /> Descriplion af Work lo�o Uoncr �� �O,ct�Ae{��. Fe� �/ ����It/` /LLt/!/Y _,__. <br /> __..._._ _^. _.. . . .__ ...__ r <br /> _. .. .._. du nwTFfl,W� E'o� <br /> NOTE: WIRING IN IJON•DWELLINGS IS REQUIRED TU r' <br /> BE IN RACEWAYS, MC OR AC CABLE, <br /> �• q� <br /> CITY OF EVERETT LOCAL SALE9 TAX COb�19 3105 ���L S��� L*�t�/G <br /> f heroby ceiilly thaf 1 have read anAoxamineAlhis yppRca(iun and know tho 52me to be fii�o anA �� �v � <br /> Co�retL All proVisiong pf laws nnd ordinances yovemrr�Q flus fyi)e ol Work will bo,complr.fr.d �(/S(� �� <br /> whothcr spoci(io0 herem or not T/re{/�dnflnp Of a pernut duos nof rusumo lo�roe aulhonty lu <br /> �-folafe or cance/the provisiwts ot any other sfato or locnl!aw rcpuPaOng consfrucJlon or the '�ZD2 - 1 I$ <br /> perfomience of constrvcGon, Thaf 1 am authonted by the uwrter`of Utls properfy to peAorm fhe L <br /> rwrk lor which e Ilca(lon Is rnaUe anA 1 compty wifh fhe Sfafe�.ontreclors Lew 18.27 RCW and <br /> 29�,2��w C. D <br /> � �/ <br /> "�/.2� � <br /> � Signature ��T— a� ��'— <br />