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C � <br /> ELECTRICAL PERMIT APPLICATION <br /> �ITY OF EVERETT PERMIT SERVICES � <br /> 425-257�810 DA FAX 42 257-8857�w�:+w.e�+eZ�reNwa.or9 �b��g��J <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �!'��� � <br /> //7b 5� .�i.��i �'� ga • <br /> PROJECTADDRESS <br /> �`��u�P�.� ) /i7n y� �S,vU �i9 �, �u�i,�tJ (�a4• QS��9rl � v�y-+ <br /> Owner Mail Pdlress CiN Sta�dl,P Phone <br /> s��E <br /> renent n,�i naer� air swr�z� ana,e <br /> Jy1�i«e�` � �a . y3S 1�1.F./-�d.U.+ir� ���(!�1 f> r �/�.a./y �13�.�Sry— i <br /> EkCtricalCor�ador htallAddiess . C�tY S�tdDA R'°^� <br /> � � 7� � � �i'��� . riD <br /> Sta4e License Num er �Contrad Price of WoAc <br /> -�'irif.5 S�i4�iE.J_ x at�r i (�' Sd't- L�7 3s (o <br /> prapo Use of Buiid�ng Contad Person (Plan Revie� <br /> Desaiption M Wak M Be DonG ,�A/�/G�!.F'�U)T'f-G� �fDl���) ��.L .Z�p� <br /> NOTE: WIRING IN NON-DSNELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CAB�E. <br /> ClTY OF EVFRETT LOCAL SALES TA7C CODE IS 3105 <br /> 1 hereiy certify that!heve rsad end exernined this app�caCon and know tlre same tn be frue and <br /> conecC M piovirons of faws and ordinances govemrng Nus type aF wwk wi0 6e r.ompleted <br /> whetherspecifiedhe 7hegrantingofapermTdoesnotqesu me2ogiveautlia+AYto n� <br /> vidata orcancel the visions any otherstate cvlocal law iegufating aonsWcton orthe �"� <br /> perfarmance of .. t!am aufhorized by(he c wner of ihrs properfy to perform tl�e `)o <br /> wak for whirh ap 'cEticn is m e and!pomply witl�fhe Stafe Cor.�Dacfors Law 78.2, RCW and . ' <br /> 296.200 WAC. <br /> (Q /� 'e7P1/� <br /> �8 �° <br /> 9'd LLL9'bL�5P5 �ef' 31eQoa BLZ�OL LL 8l 3�0 <br />