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p�l��S��fl' 12:18 253-E31-7?5a PROVIDENT E�ECTeIC ���at 6-�;n` <br /> — — —� <br /> i <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVFRETT. WA 98201 <br /> 425-257-8810 - FAX425-257-885i–www.everettwa.org <br /> i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> — '_ I <br /> �` S T'�(. � <br /> PROJECT ADDRESS <br /> I <br /> CO���"ll�«u.s (�a3ox yyz�Lr►'�rlt C.r�c.lc __C�v4/98Q3z V2s-zCng-9Krt �i <br /> OY/ne; �dail AACress G S:nle2ip Phnne � <br /> I <br /> 1 enant L"aii ntlaress Cry Stale'Zio Phone <br /> '�_�.f�s�,� pa���7 cAv�t-o� c�t/9ao�Z Zss-t�at-�7 I <br /> Eiectrical Con!mctor A1ail AdCress Ciry Slate2:p Phone <br /> fi�'('�bV��L03G� �-43��- i <br /> � State Licsnse Number Con:r ct Pncr of Wo;�: <br /> '� nrt,c,J S�n��F'rkr�' rGS� �,��.���'`�,I'l, - � <br /> �rcposed Use of dng Con'acl Person (Plan Reviev+) I <br /> I Descnpticn of l-VcrY,to Be Dare� �� rV'e,G o✓��e��r�no.SV r n� _ � <br /> \ I <br /> � �ino���.{1��e� � <br /> i <br /> �I NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE ^ I <br /> � 6 E I N R A C E W A Y S. M C O R A C C A B L E. ���� �� I <br /> � � �, <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �;:ereby certily fha(I have:eaid and examined th�s applrcation and kno�r:hn same to CC true aod i <br /> I ,urrect. AlI pr�wsons of lars and ordrna�ces govem�np this ty pe of w.ork�vrll be cempleted � I 3 v Z- ��', �� I <br /> ' >.hethar spec(ed Aerein or not The granhng o(a AermR does nct presume fo give;vihonty fo <br /> I :rnfate o�car.e!;he provis�ons of anv othe�stafe or local law regufating construchon or Lhe <br /> nerformance of consfn�chon_ 7haf 1 am authonzed by:he ovmer ol th�sPropery to Ae�lorm the <br /> �,:ork�a r�h:cr aon��cahon is made and I comply wi;h fhe State Contr2c,o�s La�v 7827 RCW and <br /> � 29520014'HC <br /> � FEB 2 �a 7_013 � <br /> � <br /> S:gnaL��e — - �—�[7ate � <br /> . — _. _._ _ . . __—II <br />