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Apr-02-12 07 :07A / P.O1 <br /> 1 ` <br /> ELECTRICAL PE:RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREEI', EVERETT, WA 98201 <br /> 425-2b7-8810 - FAX 425-:!57-9857—www.evarettwa.org <br /> t� �a-�z <br /> APPLICATIONS ARE ACCEiPTED FROM 8 AM TO 4 PM ���y�pp� <br /> PRO�CTAD RESS �U������ �'�S <br /> ,E l/,��u C�11�c� 3��____�ti�.�!T�" �� ���'.�°� <br /> (hvnar Mail Addrese Clry SfatelZlp phone <br /> Tenant Mall Addresa Clly StaleJZip (����hono <br /> �.�''�-�u/1E�1. I'�s' 3�ol �'!'/�i� !���` , 9'J-�c� ��'�� <br /> Eleclrical Contraclo� Mall Address Clly �alo2lp pl�one <br /> �'t���� r�/ Yx� e21� �' <br /> Stete License Numbor Conhact Prir,o of Work <br /> C��In� � . <br /> Proposed Uso o �uliding Cantact Persan (Plen Roviow) <br /> Descripti�n of Work to�e Donn: „���;j/�`� (' /�J( /i�j— <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIR@D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� � <br /> CffY OF EVERHTT LOCAL SALES TAX CODE IS 3105 <br /> 1 haroby ceRily that I havo read end oxamined this appiication and know tRa same to bo fru9 and �Z(��-� - (JL'� <br /> correct. Alf provisfons oflaws and onlrnances povarning tlils rype of work will be comp/etetl � <br /> whefher specllled horein ur noL 7'he granting o(a perm�t does nof piesumo to qlve authodry fo <br /> violale or cance/(he nrovislons o/any oihar stafe orloca!Inw reNulnling consiructlon or the <br /> perlonnance ol construction. The�I ar��aufho 'zed by fhe owner of tlds properfy to peAorm the <br /> work lor wldch app!lca0on is meUe�nd!comp�y wrth the Stafe Contrec(as Law 18.27 RCW and <br /> 296.2U0 W <br /> / <br /> � � /2 <br /> ature Dat <br />