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Oct-25-11 02:66P <br />ELECTRICAL PEI�MIT APPLICATION <br />CITY OF EYERETT F�ERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-267-9810 - FAX 425-257-8867 — www.everettwa.org <br />APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.�svs I��,��:lv _ <br />PROJECT AODRESS <br />CM�nr.r <br />hlall Addresc <br />City <br />� <br />P.O1 <br />as�/ <br />y�-s <br />lnv� <br />�G53 <br />S�ele21D Phono <br />Ten�nl --•--•--..._�._....'.Ataii/uftliess Ciry Slale2ip ��� Phnn« <br />��J�-�:� _ _. �(�/ t �-M � (d �r- �' P'fcd:v .�..1� Q -�/(P! <br />Elediicai Cuntractor Mall AJdiuxs City State2lp phone <br />�',�"�t�r:r�,�� z� - <br />State License Number <br />J �/� " .... <br />ProposeJ Use of Building . <br />alT� �++�,�c. a�n�v�S <br />Contract Price al Work <br />Conlacl Percon (Plan Review) <br />Desr,riptitrn uf Wurk to Be Oune: f/'iC�4JI..�l�N2�Y ,� ��/� %1 ��/%i „_ <br />S <br />NOTE: WII2ING•IN NON-DWELLINGS IS REQUIREDTO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE 19 7105 <br />1 hcrcny r,�rtiry fhnf f have read end examined this <br />correct. Af! provislons o/laws and ottilndnCas gov <br />whethar sUecllled here6i or not. The prenUnp o! a <br />vin�afoorr.ancAftbe provislonsolenyoU�ersfetec <br />performence o( cvnsfruction. That 1 am aufhoifzea <br />work lor ��hich anp�rcafion is maUe end 1 co;nply w <br />296.2D0 WAC. i . . <br />fo be hua end <br />�� <br />�f f�70 <br />r� <br />lo "�3� <br />ll <br />