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�i:'!'�1 �:Jil� L?: 4�' :53-631-7'S4 �='p`1IG�IlT ���_E'�T^'IC P4GE 03/OQ <br /> ;I — ------ - - -- - - - � <br /> ELECTRICAL PERMIT APPLICATION '� <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CC:DAR STREET, EVERETT, WA 98201 j <br /> i425-257-8810 - FAX 425-257-8857-�+nvw.everethva.org � <br /> APPLICATIONS ARE ACCEPT[0 FROt1 B AM TO 4 PM � <br /> r__'__ _'____T . ___ —'_' J <br /> il <br /> �`� 1 a r��� --- -- I <br /> � PROJECT ADORESS <br /> ii I <br /> � Go�u,�}��K�o�.c-s�'(a 13ox lkSC��L mr Il C.rc�l�c G�E/98QSL 9z5-z,CeB-9Kil � <br /> Ovmer Nw IdailAtlCress Ci,ry SlateRi� P�one � <br /> � <br /> i -- --- — --- I <br /> TeOar; MailAticress Cily S:ale2ia Phone <br /> t"'S�sYi�s.�C1u�,ris�L�r�o�c7687 C�vt.��4n �/98��Z5S"Co3l'77 <br /> Elcc:ncal C�r.U•ac�or 61ai1�tlerc;s Ciry Stale2�p Pn�au <br /> v ztQ�Z -�{,74k � � <br /> Stat=License Number Ccrdract Price ot CJerk � <br /> {�� � �� _I � ` � <br /> f_��_�[��ii.��510_'<�w___ �iivvL_(�i�C�¢�' 'I <br /> ProposeC U�e wlding Contact Person fPlan Review) <br /> Description of Work to 6e Oore: _Z� �, !(�' ��,{�(���'�C/��Wl�l/�Q�(��___ <br /> J <br /> ; �-;��.�,-�,..�.�.l�cc�A��- -- <br /> � <br /> � — _ , <br /> "� � -- — I� <br /> � NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO F�E � ', <br /> BE IN RACEWAYS, MC OR AC CA6lE �. �✓ <br /> i CITY OF EVERETT IOCAL SALES TAX CODE IS 3705 � <br /> � :hereby certif�that!have read and exanrned(hrs aFplication ana Fr.or�;he same!o be;rue antl �� � � i <br /> � correct. A!I p�ovisions oflaws ar,d orOmances qovemmg th�s fype ol work c�ill Ue completed �,. ' 7C,� 7� 'i <br /> nhet�er speci7ed nerein or not Tho grantino o/a permrt does r,otp resume W give sutborrry to � — I i <br /> v�ola.'e or carQ!the provisi�ns ot any other"slale or:ocal law regulatrng consfrvcfon or the � <br /> per,`ormance ol r,nrstrvchon. Th=.t I am au;honzed by J�e ownerol this property fo pedo�n the <br /> j r,nrk;or•.vhich app'ir.aLcn ¢rnade and I compfy witY.lhe Stafe Con,Yacfors Law 7827 RCW and �, <br /> , �66200V.�4C <br /> � %��—�`v�u�� FEe 2 n zo�� _ <br /> I <br /> �y�zt ir� Date <br /> i <br />