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,.� 25 [013 'C57P79 E;c;cn ilecN: Irc <253778977 <br />-- � <br />E:LE=CTRICAL PERMtT APPL[C,4TION <br />C:ITY OF EVERETT PERMIT SERVICES 6-a5-,3 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />�25-257-8810 - FAX 425-257-8857 - www,everettwa.org C� 3a 6—, �3 <br />APPLICATtONS ARE ACCEPTED FROM 8 AM T04 PM - DEBiT 8� CREDIT CARDS ARE NOT ACCEPTED <br />R� � L r nc� ��'l <br />PROJECT P.DpRESS ' <br />Tenar�; <br />Electrica� Contractor <br />aD�� �-i�-Lq� 'C��T <br />Slate Licease \umber <br />—� � � <br />P�posed Use of Builtling <br />Mail Atldress <br />N�il .CdGress <br />, PG �X <br />Ma�ACtlmss <br />Daacriptlon of Work to Bo Cono: � l PC TV I ClL � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />�E IN R,4CEWAYS. MC OR qC CAOLE. <br />;ITY OF EVERE7T LOCAL SALES 7AX COOE IS 3105 <br />ary <br />CiN <br />� 2(71 yz5.3� <br />sbc�ap <br />sG��erzip <br />Sfeuevts, u�q. q�Z;g <br />GN Statc2�o <br />53c�o "� <br />ContraC Priop of Work <br />Con[ac� Person (Plan Review) <br />Ilzl <br />Phono <br />Phono <br />�. g��S <br />Pnone <br />FEE — <br />17� sv <br />hereby ce�7!!y fhe7/ heve rdad and exeminod (his appllcaf/on and know fho samo fo 6e huo and �, jo� -� O 3 <br />:orrecc AlI proNslcns oflaws and o�riinoncos govom,ng fhis typc o! work wilr ba eomplemd <br />vnether sper;ilied Irert:ln or no�. The grr3nfing c! e permR does not presume to pive auUority to <br />ioleto or cancol tlie p�ovislons ol any ofhor sfefe or lo�al law regulebng mnslrucfion or the <br />�erhrmanco oJcon,st�vctlon. Thaf ! am authonzed by Me owner c/thls property fo poAorm Ipo <br />rortc h�r w�ich apppcnUon is mado and / ccmply with (he Sfa(e Con(raaors Law TB.27 RCW and <br />96.200 WAC. <br />