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t �.,( <br /> nU�. �. �'��; I � � : lJn�i� i'�i�. 7i��J , . . <br /> I —� �,_—� <br /> I <br /> I ELECTRICAL PERMIT APPLICATION <br /> � �ITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, tVERETT, WA 98701 <br /> 425•257•88 i 0 - FAX A2S-257•8857 —vnw�.everetN�a.org <br /> � �PPLICATIONS ARE ACCEPTED FROM 8 Atd TO 4 PM <br /> � `% �I3 <br /> ��� .G^i V <br /> � �.'��-�� <br /> I PNOJECT ADDRESS � <br /> �� V��1i23�'�"' �2� �-J� � �j'�� <br /> ��'+ner Meii AUdress <br /> CIIY SWte2ip Ppone <br /> Tenan; Mall Nldie�6 ' <br /> Gly SIeIe21P Fnono I <br /> �� ��� ���5 8►�d� , Ever� wA 987� I �+z� z�� ���� <br /> EiecUicnl CoMractar T r.ta�i nderoee <br /> ���Y Sletr.Zp Phono <br /> I <br /> ' . � �� I <br /> SWIe�icense NumDer OI <br /> Contract P�Ite o(61'ork <br /> Proposed Usn ol8udding Conlact Pcrson (Pian Raview) <br /> Descapt�on ol Wark to�u Done� I� �� I �V�.0 I� �,Y` i� ��SS IXJ1� 1�^ <br /> � <br /> NOTE: WIRING IN NON•CWfLLINGS IS RE(2UIRE0 70 FFE — <br /> BE IN RACEWAYS, MC OR AC C�BLE. <br /> CITY OF GVER[TT I�OCAL Sq(,ES TAX COOE IS�105 " O 4� <br /> I heraby cr.dily fha�I hove road on0 oxarninocf fn�s application ond Anov�the samo lo bo truo nnd <br /> �ormct A!I provisions ollnws and onGnancos yovom�ng f�ns typo ol worN�vill be complofed � � 30$, �5� <br /> whefher specd�r.d ryoroin nr not. The granbnp of a ponnl!duos nof resume fo gne nufho�iry fo <br /> riolato or cancel!be prowsions ol any ofbur stafn�r local/nw ruguPting conslnrc60�)0�th0 <br /> pe�o,manco nl�onstruc(ion. That l am nufhon¢atl by tho mvnar ol fhis propo�ry to porlorm tho <br /> �vork Icr which opp!icaGop rs matle and 1 cempty wi;h fh,o Stato Cen�aclors Law tA.27 RCW end <br /> 796.400 lM1'AC. <br /> Siqnaturc1�� Oale - <br />