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1 V27/2072 21 . 45 k1248 P. 005/GOb <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT P�RMIT SERVICES � <br /> 3200 CEDAR STR[ET, EVERETT, WA 95201 <br /> 425•257-8810 - FAX A25-257-8857-v,nvw,everottwa.org <br /> qPpLICATIONS ARE ACCEPT�D FROM e AM 70 4 PM <br /> 3 O � S n /O/i'/�.r � <br /> PROJECT ADPRESS <br /> � 2 J z - JS� <br /> � ` � •�c�L .�8'6fl !�✓�n.o- .-L i`�- 9 2o j�zJ= � ' / <br /> �"/J`�G�//� SlalalZiP Phona <br /> Owner <br /> Msil�ddress Ci1y <br /> Tonant idall Adtlress <br /> CIIY StnlJZip Phone i <br /> �� j�a�s '� ,�iv+�c. 3�'O/ �'��Y/�/i�re-- •-- � 9�1!'! .�2i-ZS%-Z�G�� <br /> �" '✓ . . .. cib swtolZip Phona � <br /> EI �ncal Conlracwr M�il Adtl�ess . I <br /> ` , ��s Jyz�P . �ao-= <br /> Controct Price of Work <br /> Stata Licensc� Numhor <br /> � .. . ... , . . . . <br /> t'" _ <br /> Proposed Use of Building <br /> _. ... _... Contact Person (Plan Review) � <br /> /J > � I <br /> / f C _ -��C, ��S .���Rl� I <br /> Descriplion of Work to Be Done: � <br /> � <br /> i <br /> � <br /> .� . _ �I <br /> - � <br /> I <br /> NOTE: WIRING IN NON-DWELlINGS IS REQUIRED TO FEE I <br /> � F3E IN RACEWAYS, MC OR AC.CABLE. ��U U I <br /> CI7Y dF EVERETT LOCAL SALES TAX COOE IS 3705 C � � 4l � r I � � <br /> I hcraUy cortity lhat 1 hnvo road and exAmined this applicatlon and know tho same fo 6e true ond <br /> crnec[ All provisions of laws and ordlnances govamfny this typo o/work will bo,complefad <br /> wnether spaciliod berein or nof. 7ha gronfln�7 0/a pormR doos notpresumo to grva outhonry to <br /> violuta e�cancel tho provisionsp(any other sta�e orlocallew ropulnOng construclfon or fha <br /> paricrmanca�f conslrucnon. 7hat 1 am aufhorizuq6y iho ownorofihls proparly io perform tho <br /> u�oia for which application Is made nntl l comply wdh fho SYalo Controclors Lew ffi.27 RCW and <br /> 29ti.200 WAC. <br /> .� Z 3� � I <br /> iqnaNfO - ' -_ _ ......_ �`o — <br /> � � . .. __ ._ � � � ' I <br /> � <br />