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,.. <br /> lu _ 1 .. � � .. " . I I .'. ,..iPIC f�lo0°. u0� <br /> _i,l IU '. la i . � �_.�.....,� .,.., <br /> ELE�T�ICAL PERMIT APPLICATION <br /> CITY OE �VERETT PERMIT SEitVICES <br /> 425-2570 810DAFAX425-257•885E-�www,ove?ettwa.org (� `a6��z <br /> C /�/O -/bd� <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> 7-0 3 O lo- I-1 o�,�� O$ ' . <br /> PROJECT ADDRESS <br /> ��n�_�c I�i.< <F,c ��raes n�o �� E P +rr Mh tJ�Y �' -, `� eo u:rf53 �8 <br /> `�o� MailAddross Clry Stato/Zlp Phon� <br /> E7l4.6TC �.E rtg <br /> on80t MallAdtlress Ciry SWIe/TJp Phono <br /> 4t5 4Tr 76ao <br /> E� � ru� Ko�5 s ti 9Z �.��« �ccvws �,�1�. 98z-<.'8 <br /> IecMcal Contractor Mell Addross Clty SWte21p Phona <br /> QI wly �� 00 <br /> lots Liconeo Number Contract rfce oi Work <br /> F 2 2 �.� J <br /> ruposod Uso oIBullding Contact Person (Plan Revlew) <br /> ascriptlon of Work to 8o Done: � i ,t,E /��c.�2.50�0 St �=T S Q �l s T�bl' <br /> � OTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE � <br /> iBE IN RACENlAYS, MC OR AC CABLE. � G� <br /> � l <br /> y <br /> C TY OF EVEREIT IOCAL SALES TAX CODE IS 3105 <br /> 1 ereby certify fhef I hevo reed end examined t.hls oppl(catlon and know the samo to be truo and !_- I � l U - I ��� <br /> c rrect. Al!provislons ol lews and ordlnances poveming th)s rype ol work wlll be compfoted l_ <br /> whether speGtled herein or not 7he grentinp o/a pem, If doos not rosumo(o glve outhorlty to <br /> vloloto or cancel ihe roNslor.s of any othor stefo orlocollaw reguPot/ng consiruction or the <br /> pbNormence of cons ctlon. 'fhat I am aufhodzed by the owrer o/thls properfy to perlorm tho <br /> work for whlch appll a n!s mede end 1 comply with th.e Stefe Confractors Lew f8.27 RCW end <br /> 29s. 00 WAC. <br /> � <br /> 2 Z4t L. <br /> Slp^aNre , ate ' <br /> I _ - - <br /> .� ?2' �r' ���'� '�M <br /> £, � ��r <br /> ..:���' . � . . <br />