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Oct 17 11 07: 26a Frank 360659B57B P• � <br /> \ � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ��V�� <br /> 425-257-8810 DA FAX 425-257 8857—www.eve?ettwa.org ��'��� Q 8v <br /> APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br /> i�a3� <br /> ,�a.�� f���..� �4,,, �o � y <br /> PROJECT DRESS <br /> ��� .r l�n�^'i�/%�' — — <br /> pyy � '�Mall AdOroaa Clty SlatefZq Phono <br /> Tenant Malt Addrese Clty SU1NLp Phone <br /> /�Dil7irwr� C� �i ��"� �i� G�r/ [ �i✓[ <br /> EleCldcal Conlractor Mall Addrese Clly StateZp Phone <br /> Stale Licenae Number CoMrecl Pdce of Work . <br /> Proposed Use of Bulldinp Contact Person (Plan Review) <br /> Description of Work to Be Dona: � _— -- �,. ^"� '` — Y -� <br /> �1--►'"''t -z .2 0 o S % ✓ ' i✓ ��� .,�,c. <br /> NOTE: WIRINO IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT�OCAL SALES TAX CQDE IS 3105 <br /> I here6y cerNfy that!have road end exemined th�s appqcetion end know the seme to tre lrue end � I I 10- D 80 <br /> colrect. All provlslons of/aws and ord/nances govemlrtg fhls fype ol work wlll bo complete0 <br /> whethar specllled hsrein or not. The pranting of a permd does not presume to give euthority to <br /> v!olete o�cence/t7�e provlsions oleny ofher stafe orlocal lew reguleting constrtfcfion or tha <br /> peAormance oI constructlon. That f em eufhorized by fhe owner o1 ihls property to parform fhe <br /> work for whlch applicatlon is mede end I comply with fhe Sfata Contraciors Law 18.27 RCW end <br /> 296.200 WAC. <br /> �..�,L �� /� b�/� I� � <br /> SlpnaNro —�� ate <br />