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,\ �i�F � <br /> _ /-J`I � <br /> . r. �. !:% i � � . -7� '��' <br /> � • � <br /> I ELE��TRICAL PERMIT APPLICATION <br /> CITY OF EV�RETT P�RMIT SER`�/ICES ' <br /> 3200 CEDAR STREET, EVERETT, V�'A 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> IAPPLICATIONS ARE ACCEP7�D FROM 8 AM TO 4 PM <br /> I <br /> I <br /> I <br /> lqD2 l.on-tb��d �i/ �i82(�I <br /> PROJ[CTADORESS <br /> i,�';l��i Q�il.� SGtn� G.S G�JO�� - 2Ulo �8� 2.q ►(7 <br /> Ovrner Mail Address Clty Sisie2p Phone <br /> Ten2nl Mail Ad�mes � Ciy Slate2ip Pnone <br /> C�l I�a�r1C lnc 1415 Br�xicl��;qv C-ve��tt WA 9�7�I �k25 LS�I (�(��� <br /> Elecl�ical Coalfactor � IAuil Address � City SlatelZ�p Phone <br /> 0� <br /> . c�-� ��M�L. o►t�1 250 <br /> Stata Licanse Number Contrect Price ot Work <br /> Proposed Use of Buildin� Contact P9rson (Pian Raview) <br /> i { `. �y � � <br /> Desctiptioa of Work to Ba Done: ��1���� �� ��-R'��`"""' <br /> I NOTE: WIRING IN NON-DWELLINGS IS R�QUI,RED 70 FEE <br /> BE Ih R.4CEWAYS, MC OR AC CABLE. C� n . D C' <br /> CITY OF EVEi2�Ti LOCAL SALES 7AX CODE IS 3105 <br /> I hereby cedlty that 1Ir��;e reed and exarnineU this epplicetron and kno�v(he seme to bo fiue and <br /> i� correcL AU prowmons�.laws and ordinances goveming this lype of�vork w�ill be complofed <br /> I ' whether specihed herein or noL The gr�nGrg o�a permit does notp rosume to give authority(o <br /> ' I vrolote or concel�+�e provisions o(ony o0:er sfate orfocal la�v ro9ulatmg construcuon or fho <br /> perfortnance o7cc;isiruction. That 1 nm authonzod by tho o�snor o(fh�s preperty to poAorrrt the <br /> I �vork lor which apA������un is made and I comply�v�th fhe Sfofe ConVactors Law f827 RCW and <br /> 29Q200 WAC. <br /> ,� � �5� <br />`. <br /> � Sipnalwe Dnle <br /> L� - <br />