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oec-zz-o9 01:31P <br />ELECTRICAL PEIRMIT APPLICATION <br />CITY OF EVERETT I�ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-2; 7-8857 — www.everetivea.org <br />APPLICATIONS ARE ACCEf'7ED FROM 8 AM TO 4 PM <br />oZ�a.2. �-0�61� 1llUl�f�iU Z�Iuo �ct..,kH M9►�%«' - fF Git'f�.� _. _.... <br />'��a ��t�`f�f�Y�-``�t� �a V b — 02 S ! �".�V ! <br />PROJECT ApDRESS <br />P.O1 <br />�Z�ZZ_C�' <br />�Q�/ Z �l z� <br />�/�7 S <br />��1�� L�_. ...G c��t �-���� ��i�rr cc.� ���I1 t��/ 9��� J -1sI �-_3. <br />Ownr.r 61ai1 Atltlress Clty State/Zip Phono <br />Tonanl <br />tdall Address <br />Cily <br />si+ie,n�� <br />r�hnne <br />F�U9MU�r/Q. rF 1��c� I �i I/�.G fi U q0`�'/ yZs ..71 �-Zi4,,_ <br />Electricat Conlractor trl3il AtldfB55 I:ily Sl�tll`�T.ip Phunrt <br />iz �- M r,r � y z�. p <br />Slato Lir.nnsn Numhar <br />�'� �/%� ✓11�Yili7iC._ <br />Proposod Uso ol Auildinr� <br />� Y��� _ __.__._ <br />Conlracl Pri:e of Work <br />Contar.l Persnn (Pl�n f<oviaw) <br />DosariPtion of W ork l0 6r. Uunu: (Z !G �� � J�� 1% Gl�Lt•��%y..�.� ��� -----..... .. ---. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAyS, MC OR AC CABLE, <br />CITY OF EVERETT I.00AL SALES 7AX CODE IS 3105 <br />y wrti/ <br />A!I pr <br />r specil <br />Uf' L8I7C <br />296100 <br />y fhaf I havn rund and exanrined Ihts ePP��ceflun entl lcnow fhe snnie to bo frue anA <br />uvisiorts ot /,�ws and orJinvnces guvemiriq t7Ns IyUe cJwork �t•llf be completed <br />ied herein or nvL 7he {Jren(ing of a perm�f doas noi �resumo to givo authr.nty tr. <br />e! fhe Arovisions olany oth�r sfato crlocal lew rr.yuL3fing cansliucUon orfhe <br />� construc6on. Thnt f am authonzod Gy tho owner o/ �hls roperfy to pe�fu�m 1he <br />�PPlicat!on is made and ! comp/y �vith fhe Sts�e Cr�nfrec�rs Lew 18.27 RC4V anU <br />/.7 2 z_ a <br />Datc . <br />r•�e �_ _ __....-- <br />Sa o 0 <br />.Ed�(12 -I Zf <br />