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. � i� � ' ,� j:���1 IJ�,. 6c3; P. 2 <br /> _ � � _ <br /> -- � <br /> � � <br /> � ELEC�'RICAL PERMIT APPLiCATION <br /> I CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 42;i-?57-88�0 - FAX425-257-8857-vrnn^+.everethva.ory <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> I�I � UIJI Y�,_ �I�L <br /> PROJECTADDRESS <br /> uas ��z� i�� <br /> rvi,zN���n,e.�vr����4Nw�� 7S�, u�+ prL �✓z����_hJ/k �i 81.�'S <br /> QJmer ldaJACdres, City Sale2p P�one <br /> Tenant Mail AdCreSz Gty Sl::ielZ�p Phune � <br /> �S �I�h �S�yNo <br /> � nJ� �c�ln:� E��GfC�L___���1'U /✓�ON✓La�P, � <br /> � Flectric,!CoNraclor �.+a�iF aress C�iy Siate�Zlp Pno�e <br /> G—sN�- �s�l ��D�-�� ���-t a� _ I <br /> State License Number Gont�act Pr�ce of VJork � <br /> . (.�'v� Yi1_'-'�-.+-'�`v`�,�t; - <br /> Prop sed Usc af Buildinp Conlact PerSon (Plan Reoiew) <br /> D�.cript;on of Work;o Be Done�. �NS-���.�lU� ���`-""Vti%SS T t'iJ/�� SV(TN'__ <br /> dN���—d��-{�GS�,.�'�1_�" - ---_ <br /> NOT[: WIRING IN NON-DWELUNGS IS REQU�RED TO FF[ <br /> dE IN RACEWAYS, MC OR AC CAl3LE. �� <br /> CITY OF EVERETT LOCAI.SALES TAX CODE 13 7105 --� <br /> !he�eby certily Ihaf I have rejd and examined fhis 2pplicaLon ana know Ihe sdrne fo he frua and <br /> cc��ec7. A!!provis�nns ol fvws anfl oltlinanco5 govemmp fhi5 lype ol work�vdl Ue compL:led (`/ <br /> � nhefhei speci6ed hor0��or noL Thc pranong o!a pemnf docs not resume lo yvo aufhonty fo E�� O �'1 � �� <br /> v�olyte nr cnncel Ihe provisions ol any olhpr 5tale or Ior.nllowreqUPfn1�con5huchon oi fhe <br /> palomtanco 01 consWcGon. Thaf 1 am authonzecl bv O�o owre�ol thrs property ro Perlorm(he <br /> nvrk Icr�vhich ap0liwfion is made and I con,oly�utti rhe S�a(e ConVa:fas Law 1 B.?7 RCW end <br /> 296.200 WAC. <br /> _ a,l�.--� � �lr�� ,� <br /> siana c � oaio . <br /> i I <br />