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�2-OS-'13 19:57 FROM- 206-789-2605 T-033 P0001/0001 F-3�5 <br /> ELECTRICAL PERMII APPLICATIAN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVER[TT,WA 98201 <br /> 425-257-8610 - FAX 425-257-8857—www.evorottwa.org � �//—/ 3 <br /> APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM �,3o a —a 6v <br /> ���i I ( UIC��/ �l? . E�C2.�'f` q`S�3 <br /> Pt�OJECT AD�RESS <br /> T�r� K-C-i�`1 ��,� wew ��z. Ev�2��rr ��A �,yv�3 ���s��52-�,yg � <br /> O�yncr <br /> Mail Addrsss City State2ip Phone <br /> 7eOnnl h7ai1 AJdress City Sia•e!Lp Pnono <br /> �1 N�cc� <,� '�� y�y� c.�� ��,�� N� x-�r�rcC wA �ti+�� �ar-l���s� <br /> StatelZi Phons <br /> Elaetrical Conirac or A1ml A?.ness ���Y � <br /> ECI.� SvT.l�S i q4u �`�P <br /> Slate Licensv Number Conitact Price of Work <br /> '�C=�I�Er1C` �u�J C.Eti�1G$ <br /> Proposed Use o(Bwldirfl Comact Person (Plan Review) <br /> ��/A <br /> Squarc Foota��(IF rosiAenlial nawconsirud�on,remo�ul or addition) <br /> � <br /> Duscripliun o�Work to 6e�one: ���U �� �XI�I IJG' �µOT�(�V 6LII�IG �� j�}'r <br /> � <br /> INOTE W IRING IN NON-UWL=LLINGS IS REQUIRED TO FE� � <br /> d6 IN I�ACEWAYS, MC OR AC CA[3LE. � �� <br /> ��,a) I <br /> J �� <br /> CITY OF EVEF2FTT 1_OCAL SALES 7Nf CO�E-IS 5105 <br /> I hcruby tortily lhaf 1 h,vu read and caaminod fhis aPP�ica;ion and hno�+'thc samu fo Oo trua and � <br /> carocf. All P!ovisions oI laws and ordmanccs�ovcmmq fhis typc ol work will f�o conq�lofed � <br /> I �chvthu�spac�0od horcin or nof. 7he granfin�ol a permrt does nof �resuntu fo y��'o aufhonly to C—, � ��`.. ' ��,',%,_, .' <br /> ; �� violato or canccl fho t>rovicjons of any olhcr state o�loc��la�v regulatin9 consrrucfion or�ho - <br /> pedormance olconsiiuctmn. That I am aufhorizod Ay tho owner o/this prnperty fo perform fhe <br /> «ork lor whiClt applicafion is r�ado anc/I cornpty wilh 1hc State Contracfors Law 1&.27 RCW and <br /> I� 79&200 WAC. <br /> �� � <br /> ____ � �e.� ���5�/3 <br /> Slgnalure oato <br /> i <br /> � _ __'�— <br />