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�1/^_3/2�06 08:51 42537769�7 3GSCH "cLE�'F?C I'L PAGE 93/�3 <br /> ' I ' �3 -C' lc -- <br /> �— � I <br /> ELE�TRiGAL RERNItT APPLICATI�� <br /> CtTY O� EVER'ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERElT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–www.evere�hva.org <br /> APPLICATIONS ARE ACCE!'TEO FROM 8 AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED —� <br /> /'� <br /> 1�21 SE.�VF�E iT MAL� i,JA �(�'7� <br /> PROJEGTADDRESS <br /> KJeeS�iK, wA�T 13��- � ��EStbQ.�lxz �AkE STEv�Is w� �51�� 2ob�wbizl3 <br /> O�Mt9r Mail Adflress Gry SUIefLIp Phvne <br /> TBoant Maa Addrese Clry SWte2lp Phcne <br /> 3USC��I,E�C. iNC, §�o BoX Id� l��C� ST�'�`1S u:hy825s 4-15;3K"7 871oS' - - <br /> Electrical Contractor �vtal Atltlress CiN Slale/Zip p"M� <br /> �7xNFiaa3�r — <br /> State Lfcense Numbor ConUact PAce of Work <br /> p�Use of Building Conlact Person (Plen Revlew) <br /> I <br /> Cescrlplion of Wor1c b Be Done: W`e� 1.�FlA) C07��E 1(�Q {��P — I <br /> N07E: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. 35 u <br /> GTY OF EVEREtT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceKKy thaf 1 have read ond examined lhfs applica6en and know tha same to be lrva and <br /> correcL All provisions ollews and ordinences gwoming th/s type of wo�k will be camplot�d <br /> whafher spectfied hereln or noL The granNng af e pennd does nof presume(o gt��a au(Aodty to <br /> violntaorcancelfhe rovlsJonen/enyotherstetoorfocellewregulet/ngconsm+cOcnortho � <br /> � peAonnance alcons�ruction. Triat 1 am arrthodzed by Ne ownarofthfs properfy to pertorm fhe '� <br /> Hvrk/or w/rlch appllcafion Is madn and I comply wRh Ure Sfa}e Contrec(crs Law 18.27 RCW and \ � <br /> 296200 WAC. \\ <br /> � <br /> � �v j i-�73 •Cb <br /> '�r�;,w�-- uan : <br /> �J ! / <br /> ( _� �_— �/ <br /> �oGCI -� (� <br /> i <br />