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Ap�-26- 10 05: 07A P_ O1 <br /> 1 <br /> ELECTRICAL PE;RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEpAR STREE7, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-2E')-88G7 _wwyy,evereltwa.org <br /> APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> c� CQ <br /> PROJECT ADDRESS � 7�L L <br /> �IKF cl.Ll' <br /> , <br /> o N �•.0 , ,_�-�t% N� .�,r���_ .�Siz� �►•�'r�3�.J1 _. ��� f/S � <br /> �dail Adtlress City SI;�e1Zip i'hono <br /> Ten�nl I.tail AdJress -. .--. .. �iiy tilatc/Zlp f'honc <br /> ���L�.� -1�,�� .fFiill//C�..3�L.�(�•�f�_�L/�L��<�s� z��/ <br /> EleClrir.al Cuntrac�or fdall A�tr7ress Clq� SWIa2in Pnune <br /> r <br /> �.�D�.r•r/yJ.( P ��� <br /> Slale L�cense Numbrn Con(ract Prlce ot Wurk <br /> ��/vnr <br /> Ptopnsed Use of BuilUin,y Contacl Person I�'lan Reviow) <br /> Dosr,riptlon�t Work In[�e Uonn: �/�]��{/�N�,{,,�� �LDo� C/�� �-�_ti J� ���L �L <br /> ==-NKJ� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN kACEWAI'S, MC OR AC CABLE 1 l <br /> ` / mG <br /> ✓ �� <br /> CITY OP EVERETT LOCAL gqL[S TAX CODE IS 3105 —� <br /> !hemhy[erti/y(���I f hnt e reaq anJ ex�i��ineA fhiS applic�fign end In�ow fho s9mo fo be frue dnd <br /> correct. Aq p.avisions of laws and o�Jinnnces governing lhis lype,of work wil!be campletfld <br /> whefhr.r spec,fioAher�in or nn7. The yranfiny o!a pennrt does nnf ��esumr�(o yivo aufhonry to <br /> violnte urc;,ncul fhe provisiuns o/any ufhor state or local lsw iepu�ahnp cunstructlon or lhe <br /> pwlonnnnce o/consuuct�on. Thaf I am authorlred ryy the ownor ol U�is p�Uperty to podonn fho <br /> .roik lor whrch applicatiun is rnndn antl!conrply with(hp Sfefo Carlr,�cfws Lew f8.27 RCVV enA <br /> 2P6.2001M1� C. <br /> / � <br /> -- _. ���a _ _ n3 <br /> sid�ir� ". —' ' natu� /// r �J <br /> `�J� I <br /> �I <br />