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Ju1 -02- 10 10 : 40A P . O1 <br /> �—� <br /> ELECTRICAL PERMIT APPLICATION <br /> C17Y OF EVERETT IPERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX A25-2!i7-8857 —www•everetlwa.org ") — � —/ v <br /> APPLICATIONS ARE ACCEI°T[D FROM 8 AM TO 4 PM <br /> C- / oo7- Dcb' <br /> I—_ . . .. _ . --• -- - <br /> a3�o frci�c �'ir/ �?/�_� _ <br /> PROJEC7 ADDRESS ��` <br /> .7 <br /> I � G �� �� -2�'�' qy// _ <br /> F�{2k PL,�(� Q_S4� ���'V --/G—i—+U��' Slate/Z� Phonc I <br /> Oxnor �A2il AO�IIASS Ci1y P <br /> Ten3n1 � M�il Address Ciry 51r1e�7.�p .^.� ��� Phone <br /> �,�i.A���� rr:s ���� ,�� ,� v��/_ .. . 9���-- �% a��� <br /> [lectrical ConVactor �dail Address C�iy Sta1G2�p Plmae <br /> �Fy��f�,.�s/y2 L.N � ��, �, <br /> � <br /> SWte Liconso Mumbor Cantract Prirn ot Work <br /> �6✓Lt v�t --.. .-- <br /> Pioposed Use of Buildm� Contact Pe,pn (Plan Ncair.�v) <br /> Description ul Work to Be Dnno: .Jr7f1A� �/� �J Vn-rLT� ._..__.. _ _—_ <br /> NOTE: WIRING IN NON�DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, A1C ORAC CABLE. �� .Cv <br /> C�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify Omt 1 heve reaJ erid BxantiqPd thls apP��r.,ih.m nntl knnw fhc seme lo ue frue and <br /> cvneCC A71 p�ovisions Uf In�s nnA o�dinances govermny lb�s p�pe ��f�vurk wil!6e cortipfeMd <br /> wltether spocdro0 hercin or not The.yronliny ol a peunR does nof P�estune to 9ive aufhonty(v � ^� <br /> vroiate or c�ncul tho provrsions vl any oi7�er slafe orlocallaw reflu alm�con�Wc�ion or tfie <br /> pertorm,ince ol cpns7rur.tinn. Th�t/nr++dufhorized Uy UIe oNnnr o.'fhis propaAyW per(Cnu(hb �I CI(� <br /> wnrk lor which apphcefiorr is maJa:ind 1 comp�y with Ihn Stafr. Con7rnclws 1 atv i8.27 RCW and Y' l <br /> 2;)fi 100 N'AC� <br /> -- � �� �` .- ���d-- <br /> SiJ �ture <br /> �----- ._ ... ..._ _... . .._. . . ..-_.--- <br />