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) . 2n LIII � E:Gj���1 �'�u iei�riiy ir�i ^ i�'r�. l��l;p_f' 1%� <br /> _ — �� <br /> �; <br /> ELECTRICAL PERM(T APF'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT', WA 9Fi201 <br /> 425-257-8810 - FAX425-257•885i -�w�nv.everethva.org <br /> APPLICATIONS ARE ACCEPTED FRoM 8 AM TO 4 PM 1 a ��p `)3 ' <br /> r/� � VCP�� � ! � E �3 / 2 -16I � <br /> I C� 3� V`' �Y� I ) �I�� <br /> PROJECT ADDR S <br /> 0�':nAf �.1ailAddross Ciy Sla(olZ�p � 9 'C'�_ Fhone <br /> ' �.J <br /> S�r��r �c���-0 �3 -- Ci��9.3 <br /> Tena 1 �.7a�1 ACCress Ciy State2�p Fhor� <br /> n � <br /> ��G�t�-ro� K1C��ic- �?� I C�,c�►'�.+`t.r �ll�'l�P� U�}I� �'1�701 ��J�k- 3�55 <br /> EI6Ctrieal Cenlractor R1ail AaCross C�y Statol�ip Pnene <br /> Sa�i T P ��i'��D7 <br /> SWte License Num6er Contract Price ef�Nork <br /> �JC�1"P.�vL��2 o�-i�.o,�_ �:Q n SY�Uux�-� <br /> Pwposed Use of BuildinG Contett Person (Plan Rev�r.�v) <br /> DosGription of�V�rk lo �o Uona ( ��� �,� �� I ' `-"�'�� '" `�����/ �����' ` <br /> J / � <br /> ��vl�a l �;-�U��e�'s�— <br /> NOTC: WIRWG IN NON-DWELLINGS IS REQUIRED TO FE[ ; <br /> CiE IN RAC[WAYS. �4C OR AC CABLE. <br /> t � � <br /> CITY OF EV[R[TT LOCAL SALES TAX CODC IS 3105 <br /> I horaby curtly fhat 1 have read and exam�ned this appi�cafion and kn0�y tho same f0 bB t�uo and i� 1 <br /> corracL A�1 provisions olla�h�s and erdinancos yovorniny fhis fypa oI�rork wiU Ue completed � 1 <br /> whefher s,�eci�ed�orem or nof. The granlin9�/a permrt does not presurne to grve authonry to � I � <br /> Wolate or cencel tAe pruvisinns o/any other sfofe orlocel la�v regulaUnc�consbuction orlhe �� I ;/ ` ,-- <br /> perforrrlance of construcGon. That 1 am aufhonzed 6y the owner olfhrs property to perform the <br /> wo7k lor which applica6on is made and 7 comply with the Sfate Contrac(ers Luw 1B.27 RClh�on� <br /> 296.2 bVliC. <br /> � ' ��.1,� � ZCo /� <br /> ignaWre ate - <br /> R���e ��� '��-�" �� � -d5�a � , , <br /> � ;� ��..�- c�r��o�� , <br /> _ ___!�..____ . ____.-----�c`���- - <br />