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09.'19.�2005 1?:41 P:1\ �538399736 IIERNAV50\ ENC./C.4D C�2j00?/004 <br />� � <br />ELECTRICAL RERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR ST. R=E7, EVERETT, W!; 99201 <br />425-257-8810 - FAX 425-257-6857 — wvr�+ eve�ete�:a o�g <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />! ��-iOZ �� �VP�2t�" m!�� � `� <br />� PROJECT ADDRESS <br />I ��� � ll) CXJ� � I � <br />. Oe:ne� M11ai��Ad iess C�iy <br />' �� J _.._--- <br />� Tenaot � A9ai: nderess ����r <br />ElecVicalContracbr 47aA:.atlress J � <br />I'�n�a� ��iG�D1� <br />Slate Lce.^.se Number <br />� ���� <br />�� Froposed Use of bu�,'�,ding <br />� i . . <br />�� Descripticn af Work to Be Uone�. <br />NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, tJC OR AC CABLE. <br />sia:� z p <br />S'a:: Lp <br />Ptane <br />F-.oce <br />Cuy S:zlrLp ' Phy.�e� <br />X�Co� 5��, �-t <br />� a Iaoc> <br />Con!rac! Pr'�ce of Wcrk � <br />Comaz; P=_rson (Plan Rev.e��n <br />CIiY OF EVERETT LOCAL SAIES TAX CODE IS 31D5 <br />I h,c�eby ce.dily fbat i have read ar,rl examineC Ih�s appLcation anc� kncw tne same m ce :r, e e�;i <br />ccnect A�t provisrcns o/ I�n�s and ordmances govemmg this tyoe o1 �vork a�,ll be ca*;p�aed <br />�rhetY,erspeciflerl heiem c� not 7he orannr,g cl a Feimrt doas nel piesume �o q�v= artho��:;� :, <br />wo!ate cr cancei fhe pro•nsrons of any olne� s�a(e or�ecal la�,v regulahrg ccnsln:c;�on cr Ir.e <br />peAormznce c/ ccns(ruc0on. ipal l zm aut�onzetl Cy m= on�r,er ol tfirs p�cpert, �o �='o'�,� 'r�a <br />�r6hr lor which apP��Ca;j�n �s ma�e and I co ,npty �,�!Ih tte State Cai!rac;ors La�v �B :7 RC:S� an� <br />DJIe <br />FEE <br />� c%S ay - l ( �� <br />