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07/�3/2014 18:42 <br />253-631-7754 <br />• <br />PROVIDENT ELECTRIC <br />� <br />ELECTRICAL PE�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—vwvw.e�erettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />IZ3S �,�, �e� <br />PROJECT ADDRESS <br />�-il�hm.r.�.�l� � ,�s �+ �w� I w l,-� �JSI �'� <br />— ' '--• �J StatrJZi <br />Owner Htail Addre:.s ��ry P <br />Tenan( <br />Electnral Contractor <br />�OV�-�lo3C a.- <br />Stato Licensa Number <br />Proposed Usc ot Builtling <br />Description of Wo�k to Be Donu: <br />Mail Ada:ess <br />Mall Address <br />C�rl <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE W r^.A::EWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />! hareby ceKily Uiyt I have read <br />cormc(. A/l pravisions of laws a <br />�vhothw spocl�ed hemin or not. <br />vlolale or cancel the provisions <br />/am <br />and <br />this epplicotion and <br />Clty <br />i�1 <br />StatelZip <br />PAGE O1/0: <br />�_a�, <br />��� ' <br />pnane <br />Phone <br />���253-(v'�l-1 � <br />St��c21p Phone <br />Contraa Pnce ot Wodc <br />� �, (�- � <br />Contact Pe so (Plan Review) <br />�a to be true end <br />compfoted <br />'ve aufhonty to <br />;tfon ar fhe <br />!o peAorm tho <br />18 27 RCW and <br />FEE <br />�a , o�v <br />�I�-��- 03�} <br />