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ELEGTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VERETT, WA 98201 /p --��(`4� � <br /> 425-257-8810 - FAX 425-257-f1857 —www.everettwa.org t Ogl O—l� <br /> APPLICATIONS ARE ACCEPTED F120M 8 AM TO 4 PM <br /> r � <br /> ? i �; � < <_ , , ,:�-�� � <br /> PROJECTADDRESS <br /> � �� � 1ir n:� �r�.,t<u I.'� I!r,, _ i k ,� .��`,v <br /> Gvner �Aail Addrnss Qty State2ip Ph�me <br /> � • � iliv>; !� '• �i•�,L �_�%5 C �c-o ,, , � ,l j �-�:c�11 L-JA '-j,�.��''/ <br /> Tenan� M19ailAcfAress •� � C��y Slate!Zip Pnnnr <br /> --1 � n �.� �, . <br /> ;�'f'�-�( L �1'c f� �(' -�17�C / �,��/5 1't�C��v 1c� l���.� �'_�� / `���� '1 �'')7 �1_3���! <br /> �Elecinr.;d Conirac�or �na�i ndnress C�ry 3taleZ�p Pi��,no <br /> �� � <br /> � ;. , � �,-(t' � l�/�F ' r = -- <br /> , <br /> 9a�e Licunse ivumbnr Cont acl Pnee of Work <br /> Prnpubi�d Usr_nl f3udding Contacl PCf50n (Pldn Rer ew) <br /> ,, <br /> ,�i..�>Cnp4mi �ill':u'61n Cir po�ir _l�' ��(l � ( 1.� ��' l� �� ��l 1,���5 � � �rl✓ ����✓I14�'il � _ <br /> � /, <br /> ( L <br /> �i� t� . ���._1 � i�.�[/.4���� L�. 1 ��1 <br /> NOTE WIRING IN NOW-DV�'ELLiNGS !S REOUIRED TO FEE <br /> BE IN RAC[V�'A1'S. MC OR AC CABLE. <br /> GITV OF EVERETT LOCAL SALES TAX CODC IS 3105 <br /> 1 hereby certily fiiat l havo read andeAarnined fhis appGcahnn and knp�v fhe somc lo be hue and �U��U ' � � � <br /> cor�qcf. All prorr,:�ons ol/a�+s anAo�dmanccs go��ern�ng fhrs h�pe o/�S�orF�ti9 be compleled <br /> �}lrefher specified heroin cr noL The yranGng o/a pernul does not prrsume w gi�e aufhonty to <br /> v�olate or c�ncel the provisions ol en}-other sfafe or Io�al laN�regulafing consfrucfion or fhe <br /> periurmance ol consVuction. Thaf I t�m aufhorized Gy the oH�ne�o!Ihis p�operty fo pedorm the <br /> Iwnrk lor which app6catron is medo ai�d I comply wifh fhe Sfate Confract�rs Law 78.27 RCIY and <br /> 296 20G lh'�C. . J <br /> /'� <br /> %(�,,, <br /> ��'`�-� /C'__Z�( -L.��j� <br /> �g�a���,e — c,�� <br />