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'_—, ' ' i`- . . '�_ . .� �,I_ 5 �.�^,� S e:U•' � '1 ' __ � ,. . ��'— ��� <br /> � • • I <br /> ELCCTRICAL PERMIT APPLICATION <br /> ; CITY OF EVERETT PERMIT SERVICES <br /> 3200 CED:+R STREET, EVERETT, V�1`r.9420't I <br /> 425-257-8R 1 G - �AX 425-257-2�57 —vn�r.v.ev�re:!tiva.otg <br /> IAPPLICATIONS ARE ACCEPTED 'rROM 8 AM TO 4 PM <br /> I , ; <br /> � I 5 �� �c ►� ��J� � <br /> I PROJ[CTAODRESS � <br /> I � <br /> I0'::n2f I.:atl.SCCress Gy Sta:a/Zip ��t'�l P`�one '. <br /> �/��� <br /> � ` � <br /> i �'�5.�-! Cbi� t �'6/�P.C�ih S 6(p / 2�;-/ `� I <br /> TeCant Ma��Ad^_ress City Slate2p P� i <br /> i <br /> � cn M�� xc��i� �?� 1 �����r�� ���r�P�-`�- Lt� �f K 7cl a� ��� I <br /> GlactriealConhactor 'dadAdtlress City � S�ron_�p a-�onc I <br /> i <br /> So�l i P ,�Q���» 1 `{93 ' <br /> � Sca�e license Numbar CO�tf3Ct p�iCe Of S'Jork. �I <br /> �P�1.��_j�'�' � o n 5}��X��� i <br /> Proposec.' Uso c(Building Contact Ferson (Pian Rev�ev+) � <br /> Descnption of�Vork to Be Uone� .J I V V I�`--�fl, ��t-l��f, `/ ��i 1.��_ <br /> i i <br /> � �7 _ <br /> _ Gc�Y1.`��6 � ---/=�1'C.P�S� -- — <br /> i <br /> UO7E: WiRING IN NON-DWELLINGS IS RE�UIR[D TO FEE I <br /> 8E !W RACEWAYS, R1C OR AC CAHLE. �—l.� QQ I <br /> � � U f <br /> CIIY OF EVEP.ETT LUCAL SALES TAX CODE IS 3105 <br /> 1 he�eUy certl(y fhat 1 hove rend and examined lh�s npplicntion end knovi the sarne(o be true antl � ( �� �— � �s I <br /> correct A�l prowsrons of In�.vs nnd orclinances gove.mmg fh�s type of work wili De cempleted <br /> whefher specified hemm or not. ihe gronlrng el a perm�;dees no!presume fo give aulhonty fo <br /> wofafe cr Cancel(he provisions of on�other sta(c or!otal law rcgulnfing ccnSWc��on or the <br /> pertormance nl censtruction That 1 am authorized 6y the o�•mer of fhis property m per7orm tne <br /> wark for which epplrcaticn is mede end 1 roqrply wifh fhe S(yfe Conlrsc(ors Lsw 78 27 RCW and <br /> 296 2 WAC. <br /> / <br /> , A�W I (�l�C�-� " G� � . <br /> _' IgnBNrf _ „_ �� Ote f�'� <br /> n _ <br /> � <br /> i C'� � �`—""�- :. . � <br /> �- . 1i� . � . � . <br /> `-''/-�� --._-- U ' — <br />