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0a IO. Y01� 07: :59 I'-11 �3'_a 3�i 197Fi ItG1 ELGCIRIt' l'yj0l)1 <br /> • � <br /> r _— �—___ _ _ ___.—_'__ _ _—_ _-� <br /> � <br /> i <br /> I EL�CTR�CAL PERN11T APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 98201 <br /> � 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM I <br /> j _�50o s.�a'�s1� S�,c� S'�r�� 3oo <br /> iPROJECT ADDRESS <br /> �tm (' Efi�'�l 1�3 I 8 '�L�Q,v�LarY) �D(L,c!'-� �q���6e� (N►'�-�v3L��i�7-� <br /> O.'vflB� Mail Address Crv-T S1a1Mip Phone� <br /> Le�Q�l� _ ��,lre5 /�oaa��y5t 1so .g+.,�rt,,fL Gvf�9�7.°3 �(U'� 'y47•/y <br /> ITanant Mpil AdOfOLS City State2ip Phona <br /> �__�r�_ i ��,y � �T" srN� L4��fr.,�•,s w�?-9�P� �zsS--i1'tzt�5' <br /> Eloqncal COnUaGIOr Ma�l AdEtess firy SIaIclZlp Pnonu <br /> P��LESqG�y 2 � �� �� <br /> � State Llcense Number ContmC Price olWork <br /> ! q�t.se��'�S �SC�eo� _ <br /> r posM Use of Build�ng CCNac7 Parson (Plan Rnviev�) <br /> De5cnplianofWorktoF3oDone� GiJM9°cr �/�S' �a ,+�e�,,. 73'i'/C f/i4� ��; <br /> NOTE WIRING IN NON-0WELLINGS IS REUUIRED TO �FEE <br /> BE IN FtACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7106 I (� ', �� <br /> I ho�Dy aeN(y fhot I hove mad nnd oxaminod thrs npplica6on ond know thn s�m�fo bo l�ue and <br /> conuct. All piows�ons ol laws and ortimances qavemmg(his fype o/Nerk wlll Do compfofod � � 1 D _� <br /> , wfrofhei spoafied horuin or noL The ginnGnB ol n permrt does no! rosume to grve aufhortry fo Li I ?J- D y _ /„ <br /> v!olnfaorc��nadfh�prov�slonsolanyoNorsfetoorlocallawmquPbngrnnsWcfionorfho I �/� <br /> poAomianco of cvnslructlon. Tlref l em nutnonzod by tho oNnor ol fhispro porty lo peAoan fho <br /> µork to�which applicefion Is me�o and I compty wi(h!ho Sfafo Conlrr»dors Low 1B 27 RCW end <br /> 286.200 WAC. <br /> � -7''� �?v��-- y/�/3 <br /> $�pnaturo pat <br /> I <br /> I <br />